| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1790800936 |
| License Number: | A31482 |
| License State: | CA |
| Medical School: | Univ Of Ia Coll Of Med, Iowa City Ia 52242 |
| Residency Training: | L A Co-Usc Med Ctr, General Surgery |
| Graduation Year: | 1976 |