Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1609806124
Practice Locations (2)
STAMFORD HEALTH MEDICAL GROUP INC
29 HOSPITAL PLZ, SUITE 504
STAMFORD, CT 069023602
2032768258
LIFESPAN PHYSICIAN GROUP INC
2 DUDLEY ST
PROVIDENCE, RI 029053236
4014534500
Source: CMS National Downloadable File, September 2026.