Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1993
Offers telehealth
NPI: 1619920527
Practice Locations (1)
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
12710 TOTEM LAKE BLVD NE
KIRKLAND, WA 980342907
4258214040
Source: CMS National Downloadable File, September 2026.