Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1710567862
Practice Locations (3)
2006 HOGBACK RD, SUITE 5A
ANN ARBOR, MI 481059483
15 E KIRBY ST, APT 320
DETROIT, MI 482024039
26901 BEAUMONT BLVD
SOUTHFIELD, MI 480333849
Source: CMS National Downloadable File, September 2026.