Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1760479398
Practice Locations (2)
18101 OAKWOOD BLVD
DEARBORN, MI 481244089
3135937000
14700 FARMINGTON RD, SUITE 102
LIVONIA, MI 481545434
7345255744
Source: CMS National Downloadable File, September 2026.