Medical school: HARVARD MEDICAL SCHOOL
Graduated: 2020
NPI: 1619505757
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934102
RADIOSURGERY CENTER OF RHODE ISLAND LLC
593 EDDY ST
PROVIDENCE, RI 029034923
4014443600
Source: CMS National Downloadable File, September 2026.