| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1730161209 |
| License Number: | 01043311A |
| License State: | IN |
| Medical School: | Med Univ Of Sc Coll Of Med, Charleston Sc 29425 |
| Residency Training: | Univ Of Ky-A B Chandler Mc, Occupational Medicine; Eastern Va Med Sch, Internal Medicine; Anderson Area Med Ctr, Family Medicine |
| Graduation Year: | 1987 |
| Certifications: | Occupational Medicine |