| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1215017231 |
| License Number: | 139293 |
| License State: | NY |
| Medical School: | Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214 |
| Residency Training: | North Shore Univ Hosp, Family Medicine |
| Graduation Year: | 1978 |
| Certifications: | Family Practice |