Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
Offers telehealth
NPI: 1588605620
Practice Locations (1)
KOOTENAI HEALTH INC
1919 LINCOLN WAY, SUITE 315
COEUR D ALENE, ID 838142527
2086256000
Source: CMS National Downloadable File, September 2026.