| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1124254388 |
| License Number: | G56726 |
| License State: | CA |
| Medical School: | Med Coll Of Wi, Milwaukee Wi 53226 |
| Residency Training: | Univ Ca Sch Of Pub Hlth, General Preventive Medicine Univ Hi-J A Burns Sch Med, General Surgery |
| Graduation Year: | 1983 |