| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1851340046 |
| License Number: | 41646 |
| License State: | CT |
| Medical School: | Temple Univ Sch Of Med, Philadelphia Pa 19140 |
| Residency Training: | Univ Of Mi Hosps & Hlth Ctrs, Dermatology; Univ Of Co Sch Of Med, Flexible Or Transitional Year |
| Graduation Year: | 1947 |
| Certifications: | Public Health |