| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1073555744 |
| License Number: | 28274 |
| License State: | CT |
| Medical School: | Univ Of Santo Tomas, College Of Med And Surg, Manila, Philippines |
| Residency Training: | Ct Valley Hosp, Psychiatry Griffin Hosp, Internal Medicine |
| Graduation Year: | 1981 |