Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1679554562
Practice Locations (2)
4045 W 13 MILE RD, SUITE A
ROYAL OAK, MI 480736640
2482882160
4045 W 13 MILE RD A
ROYAL OAK, MI 480736640
Source: CMS National Downloadable File, September 2026.