| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1891764510 |
| License Number: | A62735 |
| License State: | CA |
| Medical School: | Loma Linda Univ Sch Of Med, Loma Linda Ca 92350 |
| Residency Training: | Huntington Mem Hosp, General Surgery |
| Graduation Year: | 1995 |