| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1881874501 |
| License Number: | 17818 |
| License State: | WA |
| Medical School: | Georgetown Univ Sch Of Med, Washington Dc 20007 |
| Residency Training: | Univ Of Wa Sch Pub Hlth, General Preventive Medicine L A Co-Usc Med Ctr, Emergency Medicine Alameda Co Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1969 |