Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 1996
NPI: 1609853290
Practice Locations (1)
PROSPECT CHARTERCARE SJHSRI LLC
2 WAKE ROBIN RD, FATIMA HOSPITAL WOUND CARE GROUP
LINCOLN, RI 028654295
4013343830
Source: CMS National Downloadable File, September 2026.