Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1996
NPI: 1073517843
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
1375 E 20TH AVE, KAISER PERMANENTE SKYLINE MEDICAL OFFICES
DENVER, CO 802055422
3033384545
Source: CMS National Downloadable File, September 2026.