| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1790719409 |
| License Number: | 109314 |
| License State: | NY |
| Medical School: | Yale Univ Sch Of Med, New Haven Ct 06510 |
| Residency Training: | U Hosp-Suny Hlth Sci Ctr, Psychiatry |
| Graduation Year: | 1970 |
| Certifications: | Psychiatry |