Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1306878848
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
280 EXEMPLA CIRCLE, KAISER PERMANENTE ROCK CREEK MEDICA
LAFAYETTE, CO 800263370
3033384545
Source: CMS National Downloadable File, September 2026.