| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1134145501 |
| License Number: | A37301 |
| License State: | CA |
| Medical School: | Monash Univ, Fac Of Med, Clayton, Vic, Australia |
| Residency Training: | U Hosp-Suny Hlth Sci Ctr, Psychiatry |
| Graduation Year: | 1970 |
| Certifications: | Psychiatry |