| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1407920002 |
| License Number: | 20A8195 |
| License State: | CA |
| Medical School: | Western U Hlt Sci Col Osteo Med Of The Pacific, Pomona Ca 91766 |
| Residency Training: | Loma Linda Univ Med Ctr, General Preventive Medicine |
| Graduation Year: | 2001 |