| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1588708457 |
| License Number: | 140802 |
| License State: | NY |
| Medical School: | Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210, St Lawrence University Ny |
| Residency Training: | St Josephs Hosp Hlth Ctr, Family Medicine |
| Graduation Year: | 1978 |
| Certifications: | Family Practice; Occupational Medicine |