Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
Also: PAIN MANAGEMENT
NPI: 1992913131
Practice Locations (1)
PRIME HEALTHCARE SERVICES-PORT HURON LLC
2601 ELECTRIC AVE, LAKE HURON MEDICAL CENTER
PORT HURON, MI 480606587
8102161500
Source: CMS National Downloadable File, September 2026.