| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1245437508 |
| License Number: | 183310 |
| License State: | NY |
| Medical School: | Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210, St Lawrence University Ny |
| Residency Training: | Univ Hosp-Suny Stony Brook, Physical Medicine And Rehabilitation |
| Graduation Year: | 1988 |
| Certifications: | Public Health & General Preventive Medic |