Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2007
Offers telehealth
NPI: 1972760817
Practice Locations (1)
HENRY FORD HEALTH ST. JOHN HOSPITAL
24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 480803200
5867772050
Source: CMS National Downloadable File, September 2026.