| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1528159316 |
| License Number: | MD00019462 |
| License State: | WA |
| Medical School: | "Univ Of Wa Sch Of Med, Seattle Wa 98195" |
| Residency Training: | "Univ Of Nm Sch Of Med, Nephrology; Sacred Heart Med Ctr, Internal Medicine; Usphs Hosp, Internal Medicine" |
| Graduation Year: | 1979 |
| Certifications: | Internal Medicine |