Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1326160540
Practice Locations (1)
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
12039 NE 128TH ST, SUITE 400
KIRKLAND, WA 980343029
4258991210
Source: CMS National Downloadable File, September 2026.