Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1992965651
Practice Locations (1)
IHA OLMA PRIMARY NON RISK LLC
37595 7 MILE RD, SUITE 210
LIVONIA, MI 481521489
7348535694
Source: CMS National Downloadable File, September 2026.