| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1184740243 |
| License Number: | 16802 |
| License State: | KY |
| Medical School: | Univ Of Louisville Sch Of Med, Louisville Ky 40202 |
| Residency Training: | Humana Hosp-Audubon, Flexible Or Transitional Year |
| Graduation Year: | 1972 |