Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1997
NPI: 1821161647
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
125 16TH AVE E
SEATTLE, WA 981125211
2063262662
Source: CMS National Downloadable File, September 2026.