National Provider Identifier (NPI):
1740362649
License Number:
4301052841
Medical School:
Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Residency Training:
Univ Of Mi Hosps & Hlth Ctrs, Physical Medicine And Rehabilitation; Wm Beaumont Hosp, Flexible Or Transitional Year
Certifications:
Physical Medicine & Rehabilitation