Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1699598912
Practice Locations (1)
SPINE AND EXTREMITY INSTITUTE OF SOUTH LYON, L.L.C.
22180 PONTIAC TRL, SUITE E
SOUTH LYON, MI 481789097
2484460155
Source: CMS National Downloadable File, September 2026.