| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1649312224 |
| License Number: | 12783 |
| License State: | AZ |
| Medical School: | Dartmouth Med Sch, Hanover Nh 03756 |
| Residency Training: | University Med Ctr, Occupational Medicine; Tucson Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1980 |
| Certifications: | Occupational Medicine |