| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1699783373 |
| License Number: | 8417 |
| License State: | NH |
| Medical School: | Yale Univ Sch Of Med, New Haven Ct 06510 |
| Residency Training: | Highland Hosp, Family Medicine |
| Graduation Year: | 1978 |
| Certifications: | Family Practice; Occupational Medicine |