Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1974
NPI: 1912932989
Practice Locations (2)
455 S LIVERNOIS, A23
ROCHESTER HILLS, MI 483072579
455 S LIVERNOIS RD, A23
ROCHESTER HILLS, MI 483072579
Source: CMS National Downloadable File, September 2026.