Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1972568947
Practice Locations (1)
EDWARD W SPARROW HOSPITAL ASSOCIATION
1215 E MICHIGAN AVE, UNITVERSITY OF MICHIGAN HEALTH SPAR
LANSING, MI 489121811
5173645650
Source: CMS National Downloadable File, September 2026.