| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1255394235 |
| License Number: | 04-31024 |
| License State: | KS |
| Medical School: | Univ Of Ks Sch Of Med, Kansas City Ks 66103 |
| Residency Training: | Univ Of Ky Hosp-Chandler Mc, General Surgery |
| Graduation Year: | 1990 |