Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 2023
NPI: 1871177964
Practice Locations (3)
1 FORD PL, 3A
Detroit, MI 482023450
321 W LAFAYETTE BLVD, UNIT 903
DETROIT, MI 482262728
1005 KINGS CT
TRAFFORD, PA 150852503
Source: CMS National Downloadable File, September 2026.