Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2013
NPI: 1962846659
Practice Locations (1)
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
3535 W 13 MILE RD, 108 BEAUMONT CHILDRENS HOSP PEDS CARDIO
ROYAL OAK, MI 480736770
2485512900
Source: CMS National Downloadable File, September 2026.