Dr. Ayala received his Doctorate of Medicine degree from the K.M. School of Post-Graduate Medicine & Research in Ahmedabad, India. He served his internship and completed a residency and a chief residency in Internal Medicine, as well as a fellowship in Cardiology at Hahnemann University Hospital in Philadelphia, Pennsylvania. Dr. Ayala is certified by the American Board of Internal Medicine American Board of Internal Medicine and the American Board of Internal Medicine Subspecialty Board of Cardiovascular Disease.