Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
Offers telehealth
NPI: 1750450490
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
2535963300
Source: CMS National Downloadable File, September 2026.