Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1841231941
Practice Locations (2)
16181 HUBBELL ST
DETROIT, MI 482354026
3132738764
SCIOMETRIX LLC
306 S WASHINGTON AVE, SUITE 600
ROYAL OAK, MI 480673837
8603355064
Source: CMS National Downloadable File, September 2026.