| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1992700660 |
| License Number: | ME 76635 |
| License State: | FL |
| Medical School: | Univ Central Del Este (Uce), Esc De Med, San Pedro De MacOris |
| Residency Training: | Bergen Reg Med Ctr, Psychiatry |
| Graduation Year: | 1981 |