Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1982807525
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
66 BRANCH AVE, SUITE 150
PROVIDENCE, RI 029042756
4016062590
GIFFORD MEDICAL CENTER INC
44 S MAIN ST
RANDOLPH, VT 050601381
8027287000
Source: CMS National Downloadable File, September 2026.