| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1881733376 |
| License Number: | 29150 |
| License State: | MA |
| Medical School: | Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203 |
| Residency Training: | Usphs Hosp, Internal Medicine; Usphs Hospital, Flexible Or Transitional Year |
| Graduation Year: | 1963 |