| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1295853133 |
| License Number: | A28769 |
| License State: | CA |
| Medical School: | Univ Of Ca, Irvine, Ca Coll Of Med, Irvine Ca 92717 |
| Residency Training: | Ca Dept Of Hlth Serv, General Preventive Medicine |
| Graduation Year: | 1962 |