| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1063537199 |
| License Number: | A30067 |
| License State: | CA |
| Medical School: | Northwestern Univ Med Sch, Chicago Il 60611 |
| Residency Training: | Cedars-Sinai Med Ctr, General Surgery La Co Harbor Ucla Med Ctr, General Surgery La Co Harbor Ucla Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1973 |