AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1265589394 |
License Number: | 151941 |
License State: | MA |
Medical School: | Umdnj - New Jersey Med Sch, Newark Nj 07103 |
Residency Training: | Umdnj-R W Johnson Med Sch, Psychiatry |
Graduation Year: | 1989 |