| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1033234901 |
| License Number: | 15727 |
| License State: | AZ |
| Medical School: | Umdnj - New Jersey Med Sch, Newark Nj 07103 |
| Residency Training: | Umdnj-Univ Hosp, Internal Medicine |
| Graduation Year: | 1978 |
| Certifications: | Internal Medicine; Occupational Medicine |