Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 2001
NPI: 1922249010
Practice Locations (2)
HENRY FORD MACOMB HOSPITAL CORPORATION
15717 15 MILE RD
CLINTON TOWNSHIP, MI 480352101
HENRY FORD MACOMB HOSPITAL CORPORATION
15855 19 MILE RD
CLINTON TOWNSHIP, MI 480383504
5862632300
Source: CMS National Downloadable File, September 2026.