Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1982454906
Practice Locations (3)
19000 BRIGHTON DR
MACOMB, MI 480426278
736 S CONNECTICUT AVE
ROYAL OAK, MI 480672983
4050 E 12 MILE RD
Warren, MI 480922534
Source: CMS National Downloadable File, September 2026.