| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1306837802 |
| License Number: | 58822 |
| License State: | MA |
| Medical School: | Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143 |
| Graduation Year: | 1980 |
| Certifications: | Occupational Medicine |