Medical school: HARVARD MEDICAL SCHOOL
Graduated: 2001
NPI: 1437149523
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4017939170
RHODE ISLAND HOSPITAL
593 EDDY ST
PROVIDENCE, RI 029034923
4014445435
Source: CMS National Downloadable File, September 2026.