Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1033774559
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
4016494000
BROWN MEDICINE
250 CENTERVILLE RD, BLDG E
WARWICK, RI 028864400
4014903838
Source: CMS National Downloadable File, September 2026.