Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
NPI: 1821107848
Practice Locations (1)
IHA OLMA SPECIALTY SERVICES LLC
44555 WOODWARD AVE, SUITE 501
PONTIAC, MI 483415039
2483387171
Source: CMS National Downloadable File, September 2026.