Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1295825362
Practice Locations (1)
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
1909 214TH ST SE, SUITE 110
BOTHELL, WA 980214412
4254884988
Source: CMS National Downloadable File, September 2026.