| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1134117492 |
| License Number: | 30621 |
| License State: | CT |
| Medical School: | Wayne State Univ Sch Of Med, Detroit Mi 48201 |
| Residency Training: | Inst Of Living Hosp, Psychiatry |
| Graduation Year: | 1986 |
| Certifications: | Psychiatry |