| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1851391627 |
| License Number: | G35849 |
| License State: | CA |
| Medical School: | Univ Of Ca, San Diego, Sch Of Med, La Jolla Ca 92093 |
| Residency Training: | Lac-King/Drew Med Ctr, Other Specialty; L A Co-Usc Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1976 |