He has extensive experience in program development, quality improvement, and performance improvement initiatives. In addition to serving as Chief of Cardiology at Highland Hospital (University of Rochester Medical Center, 2002-2009) and Chief of Cardiology at Park Ridge Hospital (Unity Health System, 1993-2002), he has served as Medical Director of Cardiac Rehabilitation/Preventive Cardiology at Rochester General Hospital (1985 -1992) and Medical Director of the Cardiac Catheterization laboratory at Park Ridge Hospital (1993-2002).