Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1457351397
Practice Locations (1)
KAUAI MEDICAL CLINIC
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 967661098
8082451500
Source: CMS National Downloadable File, September 2026.