Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1063638096
Practice Locations (2)
THE MIRIAM HOSPITAL
950 WARREN AVE, FL 2
EAST PROVIDENCE, RI 029141432
4016061004
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.