Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2014
Offers telehealth
NPI: 1053730150
Practice Locations (1)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014446779
Source: CMS National Downloadable File, September 2026.