Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2005
NPI: 1396925186
Practice Locations (1)
EAST BAY COMMUNITY ACTION PROGRAM
6 JOHN H CHAFEE BLVD
NEWPORT, RI 028401034
4018482160
Source: CMS National Downloadable File, September 2026.