| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1336269232 |
| License Number: | 170224 |
| License State: | NY |
| Medical School: | Univ Of Ct Sch Of Med, Farmington Ct 06032 |
| Residency Training: | Ca Pacific M C-Ca Campus, Internal Medicine |
| Graduation Year: | 1975 |
| Certifications: | Occupational Medicine |