| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1871619858 |
| License Number: | 4301042062 |
| License State: | MI |
| Medical School: | Univ Of The East, Ramon Magsaysay Mem Med Ctr, Quezon City |
| Residency Training: | Waterbury Hosp Hlth Ctr, General Surgery; Brooklyn Hosp Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1963 |
| Certifications: | Occupational Medicine |