AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1124168760 |
License Number: | G59820 |
License State: | CA |
Medical School: | George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037 |
Residency Training: | San Joaquin Gen Hosp, Flexible Or Transitional Year |
Graduation Year: | 1984 |