Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1997
NPI: 1124172945
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9800 4TH AVE NE
SEATTLE, WA 981152152
2065277100
Source: CMS National Downloadable File, September 2026.