| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1366437816 |
| License Number: | 35043696 |
| License State: | OH |
| Medical School: | "Tufts Univ Sch Of Med, Boston Ma 02111" |
| Residency Training: | "University Hosp, Inc, Infectious Diseases; University Hosp, Inc, Internal Medicine" |
| Graduation Year: | 1977 |
| Certifications: | Internal Medicine |