Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2001
NPI: 1194793513
Practice Locations (1)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
535 FAUNCE CORNER RD
DARTMOUTH, MA 027471242
5089963991
Source: CMS National Downloadable File, September 2026.