Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1710911219
Practice Locations (2)
10300 N ILLINOIS ST, SUITE 1010
CARMEL, IN 462901168
11220 ILLINOIS ST, SUITE 230
CARMEL, IN 460329847
3178171768
Source: CMS National Downloadable File, September 2026.