| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1992842694 |
| License Number: | C25141 |
| License State: | CA |
| Medical School: | Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107 |
| Residency Training: | Mount Zion M C Univ Ca, Child & Adolescent Psychiatry; Ucsf Mc/Langley Porter Psy Hsp, Psychiatry; Usphs Hosp, Psychiatry; Usphs Hospital, Flexible Or Transitional Year |
| Graduation Year: | 1960 |