| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1457520462 |
| License Number: | A83564 |
| License State: | CA |
| Medical School: | Tulane University School of Medicine, New Orleans, LA, 1993 |
| Residency Training: | Tulane Univ Sch Of Med, General Preventive Medicine; Tulane Univ Sch Of Med, Transitional Year |
| Graduation Year: | 2000 |