| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1902938616 |
| License Number: | 55581 |
| License State: | MA |
| Medical School: | New York Univ Sch Of Med, New York Ny 10016 |
| Residency Training: | Harborview Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1963 |
| Certifications: | General Preventive Medicine |