Graduated: 2020
NPI: 1730780651
Practice Locations (3)
PACIFIC ANESTHESIA INC
1301 PUNCHBOWL ST
HONOLULU, HI 968132402
8086911000
HENRY FORD HEALTH ST. JOHN HOSPITAL
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493000
Source: CMS National Downloadable File, September 2026.