| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1326094285 |
| License Number: | 37395 |
| License State: | CT |
| Medical School: | Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
| Residency Training: | St Francis Med Ctr, Psychiatry; St Francis Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1987 |