Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1989
NPI: 1053375105
Practice Locations (3)
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 838146051
700 W IRONWOOD DR, SUITE 320
Coeur D Alene, ID 838144485
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Source: CMS National Downloadable File, September 2026.