| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1982730156 |
| License Number: | G21941 |
| License State: | CA |
| Medical School: | "Harvard Med Sch, Boston Ma 02115" |
| Residency Training: | "Clinical Ctr At The Nih, Internal Medicine; Mass Gen Hosp, Internal Medicine" |
| Graduation Year: | 1960 |