Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2019
NPI: 1821551359
Practice Locations (1)
KOOTENAI HEALTH INC
566 W PRAIRIE AVE
COEUR D ALENE, ID 838157766
2086255155
Source: CMS National Downloadable File, September 2026.