Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1881721827
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
280 EXEMPLA CIRCLE, KAISER PERMANENTE ROCK CREEK MEDICA
LAFAYETTE, CO 800263370
3033384545
Source: CMS National Downloadable File, September 2026.