| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1497866917 |
| License Number: | A23856 |
| License State: | CA |
| Medical School: | Univ Of Ca, Irvine, Ca Coll Of Med, Irvine Ca 92717 |
| Residency Training: | Santa Clara Valley Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1969 |