Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1990
NPI: 1871580092
Practice Locations (2)
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 838146051
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Source: CMS National Downloadable File, September 2026.