| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1073659330 |
| License Number: | MD7623 |
| License State: | HI |
| Medical School: | Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157 |
| Residency Training: | Usphs Hosp, General Preventive Medicine Pacific Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1966 |