Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1996
NPI: 1437175825
Practice Locations (2)
DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER
50 N MEDICAL DR
SALT LAKE CITY, UT 841320001
8015876340
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015853229
Source: CMS National Downloadable File, September 2026.