Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1922082437
Practice Locations (1)
UWH OF MICHIGAN PLC
28555 ORCHARD LAKE RD, SUITE 120
FARMINGTON HILLS, MI 483342973
2484891070
Source: CMS National Downloadable File, September 2026.