| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1629086319 |
| License Number: | 1155779 |
| License State: | CT |
| Medical School: | "Univ Of Pa Sch Of Med, Philadelphia Pa 19104" |
| Residency Training: | "Yale New Haven Hosp, Internal Medicine" |
| Graduation Year: | 1971 |
| Certifications: | Internal Medicine |