| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1760484992 |
| License Number: | 24483 |
| License State: | CO |
| Medical School: | Univ Of Co Sch Of Med, Denver Co 80262 |
| Residency Training: | Naval Reg Med Ctr, General Surgery |
| Graduation Year: | 1980 |
| Certifications: | Occupational Medicine |