| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1639280597 |
| License Number: | 20A5303 |
| License State: | CA |
| Medical School: | Western U Hlt Sci Col Osteo Med Of The Pacific, Pomona Ca 91766 |
| Residency Training: | Graduate Sch Pub Hlth, General Preventive Medicine; Naval Hosp-Camp Pendleton, Family Medicine |
| Graduation Year: | 1985 |
| Certifications: | Public Health & General Preventive Medic |