| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1649266750 |
| License Number: | A63358 |
| License State: | CA |
| Medical School: | Hahnemann Univ Sch Of Med, Philadelphia Pa 19102 |
| Residency Training: | Nat'L Capital Consortium, General Preventive Medicine; Naval Med Ctr-San Diego, General Surgery |
| Graduation Year: | 1996 |