Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2002
NPI: 1720177686
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF MICHIGAN
1500 E MEDICAL CTR DR 3RD FLOOR, TAUBMAN CTR RECPT B
ANN ARBOR, MI 481090352
7349365582
Source: CMS National Downloadable File, September 2026.