Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1987
NPI: 1952371007
Practice Locations (1)
PREMIER PHYSICAL MEDICINE AND REHABILITATION OF MICHIGAN PC
3601 W 13 MILE RD, BEAUMONT HOSPITAL
ROYAL OAK, MI 480736712
2488091227
Source: CMS National Downloadable File, September 2026.