Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2021
NPI: 1699354019
Practice Locations (2)
29201 TELEGRAPH RD, SUITE 500
SOUTHFIELD, MI 480341300
29201 TELEGRAPH RD, SUITE 500
SOUTHFIELD, MI 480347648
Source: CMS National Downloadable File, September 2026.