Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 1997
NPI: 1083638928
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447024
BROWN EMERGENCY MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.