National Provider Identifier (NPI):
1598762379
License Number:
5101009750
Medical School:
Univ Of N Tx Hlth Sci Ctr, Tx Coll Osteo Med, Ft Worth Tx 76107
Residency Training:
Detroit Rec Hsp-U Hlth C, Neurology; Mt Clemens Gen Hosp-Msucom, Flexible Or Transitional Year