Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1730597758
Practice Locations (2)
WEISER VALLEY HOSPITAL DISTRICT
190 E BANNOCK ST
BOISE, ID 837126241
2085490370
BOISE RADIOLOGY GROUP PLLC
190 E BANNOCK ST
BOISE, ID 837126241
2083812094
Source: CMS National Downloadable File, September 2026.