Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1811008154
Practice Locations (2)
31100 TELEGRAPH RD, SUITE 100
BINGHAM FARMS, MI 480254364
2486422115
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
27483 DEQUINDRE RD, SUITE 204
MADISON HEIGHTS, MI 480715711
2489677326
Source: CMS National Downloadable File, September 2026.