Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1994
Offers telehealth
NPI: 1629093521
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
10452 SILVERDALE WAY NW
SILVERDALE, WA 983839411
3603077300
Source: CMS National Downloadable File, September 2026.