| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1861460859 |
| License Number: | 130912 |
| License State: | NY |
| Medical School: | "Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455" |
| Graduation Year: | 1972 |
| Certifications: | Clinical Biochemical Genetics; Clinical Genetics; Clinical Molecular Genetics |