Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2009
NPI: 1922236652
Practice Locations (1)
IHA OLMA SPECIALTY 1 LLC
19000 ST JOES PKWY, SUITE 210
LIVONIA, MI 481521477
7346558250
Source: CMS National Downloadable File, September 2026.