| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1508903840 |
| License Number: | 24129 |
| License State: | MA |
| Medical School: | Harvard Med Sch, Boston Ma 02115 |
| Residency Training: | Boston Univ Med Ctr/Univ Hp, General Surgery |
| Graduation Year: | 1947 |
| Certifications: | Surgery |