Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1984
NPI: 1215015490
Practice Locations (2)
KOOTENAI HEALTH INC
1055 RIVERSIDE AVE
OROFINO, ID 835449029
2084765777
KOOTENAI HEALTH INC
1440 E MULLAN AVE
POST FALLS, ID 838549064
2086254900
Source: CMS National Downloadable File, September 2026.