| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1952568461 |
| License Number: | 172456 |
| License State: | NY |
| Medical School: | Univ Cetec, Sch Of Med, Santo Domingo, Dom Rep (Closed 1984) |
| Residency Training: | Elmhurst Hosp Ctr-Mt Sinai, Internal Medicine |
| Graduation Year: | 1981 |