Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1629284732
Practice Locations (1)
NORTH IDAHO UROLOGY PLLC
980 W IRONWOOD DR, SUITE 104
COEUR D ALENE, ID 838142668
2086670621
Source: CMS National Downloadable File, September 2026.