| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1225137243 |
| License Number: | 17425 |
| License State: | CT |
| Medical School: | "Georgetown Univ Sch Of Med, Washington Dc 20007" |
| Residency Training: | "Yale New Haven Hosp, Internal Medicine" |
| Graduation Year: | 1972 |
| Certifications: | Internal Medicine |