Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2020
NPI: 1003445503
Practice Locations (1)
KOOTENAI HEALTH INC
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
2086254000
Source: CMS National Downloadable File, September 2026.