Medical school: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1184686057
Practice Locations (1)
UNIVERSITY OF UTAH SURGICAL SERVICES
175 N MEDICAL DR, UNIVERSITY OF UTAH DEPARTMENT OF NE
SALT LAKE CITY, UT 841321103
8015857575
Source: CMS National Downloadable File, September 2026.