| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1508949496 |
| License Number: | 228003 |
| License State: | NY |
| Medical School: | Georgetown Univ Sch Of Med, Washington Dc 20007 |
| Residency Training: | Univ Of Md Med Sys, Psychiatry |
| Graduation Year: | 1995 |