| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1487612784 |
| License Number: | 23438 |
| License State: | LA |
| Medical School: | Univ Of Al Sch Of Med, Birmingham Al 35294 |
| Residency Training: | Nat'L Capital Consortium, General Preventive Medicine |
| Graduation Year: | 1996 |