| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1730264409 |
| License Number: | G60635 |
| License State: | CA |
| Medical School: | Hahnemann Univ Sch Of Med, Philadelphia Pa 19102 |
| Residency Training: | Tucson Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1986 |
| Certifications: | Occupational Medicine |