Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1811951130
Practice Locations (1)
UNIVERSITY OF UTAH PEDIATRIC SERVICES
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131103
8015877109
Source: CMS National Downloadable File, September 2026.