| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1508906744 |
| License Number: | 167655-1 |
| License State: | NY |
| Medical School: | Univ Of Vt Coll Of Med, Burlington Vt 05405 |
| Residency Training: | Mt Sinai Med Ctr, Public Health & General Preventive Medicine |
| Graduation Year: | 1985 |
| Certifications: | Occupational Medicine |