| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1588789788 |
| License Number: | G32147 |
| License State: | CA |
| Medical School: | Univ Of Ca, Davis, Sch Of Med, Davis Ca 95616 |
| Residency Training: | Comm Med Ctr-University Med Ct, Family Medicine |
| Graduation Year: | 1975 |
| Certifications: | Family Practice |