Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 2020
NPI: 1073136636
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
19 FRIENDSHIP ST, UNIT 240
NEWPORT, RI 028402200
4016193930
UNIVERSITY SURGICAL ASSOCIATES, INC.
19 FRIENDSHIP ST, UNIT 240
NEWPORT, RI 028402200
4012721800
Source: CMS National Downloadable File, September 2026.