| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1548346075 |
| License Number: | C35266 |
| License State: | CA |
| Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
| Residency Training: | Clarian Indiana Univ Hosp, Internal Medicine |
| Graduation Year: | 1972 |
| Certifications: | Family Practice; Occupational Medicine |