| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1891708707 |
| License Number: | G55392 |
| License State: | CA |
| Medical School: | Creighton Univ Sch Of Med, Omaha Ne 68178 |
| Residency Training: | Or Hlth Sci Univ Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1984 |