| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1003053117 |
| License Number: | 16782 |
| License State: | KY |
| Medical School: | Univ Of Louisville Sch Of Med, Louisville Ky 40202 |
| Residency Training: | Univ Of Louisville Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1972 |