| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1144333170 |
| License Number: | A64716 |
| License State: | CA |
| Medical School: | George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037 |
| Residency Training: | Univ Ca San Diego Med Ctr, General Preventive Medicine Geo Washington Univ Sch Med, Orthopedic Surgery Geo Washington Univ Sch Med, General Surgery |
| Graduation Year: | 1996 |