Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1999
NPI: 1326034430
Practice Locations (1)
ORTHOPEDIC SURGERY AND SPORTS
850 W IRONWOOD DR, SUITE 202
COEUR D ALENE, ID 838144903
2086642175
Source: CMS National Downloadable File, September 2026.