Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
Also: VASCULAR SURGERY
NPI: 1902883002
Practice Locations (1)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
Source: CMS National Downloadable File, September 2026.