| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1922136969 |
| License Number: | G73496 |
| License State: | CA |
| Medical School: | Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143 |
| Residency Training: | Children'S Hosp Of L A, Pediatrics |
| Graduation Year: | 1990 |