| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1639188899 |
| License Number: | A42041 |
| License State: | CA |
| Medical School: | Far Eastern Univ, Dr N Reyes Med Fndn Inst Of Med, Manila, Philippines |
| Residency Training: | Southside Med Ctr, Anesthesiology; Southside Med Ctr, Family Medicine |
| Graduation Year: | 1982 |