Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1417984089
Practice Locations (1)
EVERGREEN EMERGENCY SERVICES PS
12040 NE 128TH ST
KIRKLAND, WA 980343013
4258991000
Source: CMS National Downloadable File, September 2026.