Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1205961182
Practice Locations (1)
NORTH IDAHO UROLOGY PLLC
980 W IRONWOOD DR, SUITE 104
COEUR D ALENE, ID 838142668
2086670621
Source: CMS National Downloadable File, September 2026.