Medical school: WISCONSIN COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 2011
Offers telehealth
NPI: 1851646731
Practice Locations (1)
KOOTENAI HEALTH INC
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
2086254000
Source: CMS National Downloadable File, September 2026.