Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1649295866
Practice Locations (1)
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
825 SE BISHOP BLVD, SUITE 200
PULLMAN, WA 991635537
5093322517
Source: CMS National Downloadable File, September 2026.