| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1164546388 |
| License Number: | G81956 |
| License State: | CA |
| Medical School: | A Einstein Coll Of Med Of Yeshiva Univ, Bronx Ny 10461 |
| Residency Training: | Duke Univ Med Ctr, Family Practice Univ Of Nc Hosps, Family Practice Group Hlth Coop/Puget Sond, Family Practice |
| Graduation Year: | 1972 |