Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2011
NPI: 1114213410
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447024
BROWN EMERGENCY MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
AFFINITY PHYSICIANS LLC.
455 TOLL GATE RD
WARWICK, RI 028862759
4017377010
Source: CMS National Downloadable File, September 2026.