| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1255484689 |
| License Number: | G36135 |
| License State: | CA |
| Medical School: | Stanford Univ Sch Of Med, Stanford Ca 94305 |
| Residency Training: | Univ Of Chicago Hosps, Internal Medicine |
| Graduation Year: | 1975 |