Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1598863193
Practice Locations (1)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391720
Source: CMS National Downloadable File, September 2026.