| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1205819018 |
| License Number: | MD027188E |
| License State: | PA |
| Medical School: | Hahnemann Univ Sch Of Med, Philadelphia Pa 19102 |
| Residency Training: | St Vincent Hlth Ctr, Family Medicine |
| Graduation Year: | 1981 |