| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1730161944 |
| License Number: | 21413 |
| License State: | IA |
| Medical School: | Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
| Residency Training: | Northeast Ia Med Educ Fndn, Family Medicine; Swedish Covenant Hosp, Family Medicine |
| Graduation Year: | 1976 |