| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1891719688 |
| License Number: | 12028 |
| License State: | ME |
| Medical School: | Hahnemann Univ Sch Of Med, Philadelphia Pa 19102 |
| Residency Training: | Baystate Med Ctr, Internal Medicine; Baystate Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1972 |
| Certifications: | Occupational Medicine |