| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1346200276 |
| License Number: | 1601 |
| License State: | AK |
| Medical School: | "Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214" |
| Residency Training: | "Scripps Mercy Hosp, Internal Medicine; Kaleida Hlth Sys-Buffalo Gen, Internal Medicine" |
| Graduation Year: | 1972 |
| Certifications: | Internal Medicine |