| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1730358243 |
| License Number: | 4613 |
| License State: | NH |
| Medical School: | Univ Of London Fac Med-Charing Cross Hosp (917-07 Eff 1/71) |
| Graduation Year: | 1960 |
| Certifications: | Emergency Medicine; Family Practice |