Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1154814549
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014445038
BROWN EMERGENCY MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.