AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1356400980 |
License Number: | G47395 |
License State: | CA |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Hennepin Co Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1973 |