| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1831128305 |
| License Number: | 39250 |
| License State: | CT |
| Medical School: | Univ Technologica de Santiago, Escuela de Medicina |
| Residency Training: | Ny Medical College, Psychiatry |
| Graduation Year: | 1986 |