Graduated: 1991
NPI: 1770632523
Practice Locations (2)
MDRI LLC
1407 S COUNTY TRL, SUITE 431
EAST GREENWICH, RI 028181679
4013980288105
LIFESPAN PHYSICIAN GROUP INC
1360 W MAIN RD
MIDDLETOWN, RI 028426301
4016063110
Source: CMS National Downloadable File, September 2026.