| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1437168614 |
| License Number: | G52198 |
| License State: | CA |
| Medical School: | Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107 |
| Residency Training: | Comm Med Ctr-University Med Ct, Internal Medicine |
| Graduation Year: | 1982 |