| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1518165414 |
| License Number: | G39305 |
| License State: | CA |
| Medical School: | Univ Of Il Coll Of Med, Chicago Il 60680 |
| Residency Training: | Advocate Il Masonic Med Ctr, Internal Medicine |
| Graduation Year: | 1975 |
| Certifications: | Occupational Medicine |