Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1801012463
Practice Locations (4)
1 FORD PL
DETROIT, MI 482023067
1 FORD PL, SUITE 2E
DETROIT, MI 482023450
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
ONE FORD PLACE, 2E
DETROIT, MI 482023450
Source: CMS National Downloadable File, September 2026.