Medical school: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated: 2015
NPI: 1952789745
Practice Locations (2)
3031 W GRAND BLVD, SUITE 450
Detroit, MI 482023046
49 LAFAYETTE RD, UNIT C
HAMPTON FALLS, NH 038442326
Source: CMS National Downloadable File, September 2026.