AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1629104617 |
License Number: | G25581 |
License State: | CA |
Medical School: | Stanford Univ Sch Of Med, Stanford Ca 94305 |
Residency Training: | Stanford Univ Hosp, Child & Adolescent Psychiatry; Stanford Univ Hosp, Psychiatry; La Co Harbor Ucla Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1972 |