| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1609992742 |
| License Number: | 16693 |
| License State: | CT |
| Medical School: | Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157 |
| Residency Training: | Hartford Hosp, General Surgery |
| Graduation Year: | 1973 |