Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1265510879
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
2535963300
Source: CMS National Downloadable File, September 2026.