Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1508851544
Practice Locations (2)
5720 E LAKE SAMMAMISH PKWY SE, SUITE 100
ISSAQUAH, WA 980298944
4256580658
16701 CLEVELAND ST, SUITE C
REDMOND, WA 980520901
4256580658
Source: CMS National Downloadable File, September 2026.