| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1114175510 |
| License Number: | G50620 |
| License State: | CA |
| Medical School: | Univ Of Southern Ca Sch Of Med, Los Angeles, Ca 90033 |
| Residency Training: | Western Med Ctr, Family Medicine |
| Graduation Year: | 1982 |
| Certifications: | Occupational Medicine |