| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1831203991 |
| License Number: | 162940 |
| License State: | NY |
| Medical School: | Albany Med Coll, Albany Ny 12208 |
| Residency Training: | Duke Univ Med Ctr, Internal Medicine |
| Graduation Year: | 1978 |
| Certifications: | Internal Medicine; Occupational Medicine |