Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1740542141
Practice Locations (2)
UWH OF MICHIGAN PLC
46325 W 12 MILE RD, SUITE 250
NOVI, MI 483772461
2484651200
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
Source: CMS National Downloadable File, September 2026.