Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1902816523
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF MICHIGAN
1500 E MEDICAL CTR DR 2ND FLOOR, TAUBMAN CENTER
ANN ARBOR, MI 481090999
7347634208
Source: CMS National Downloadable File, September 2026.