AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1194795872 |
License Number: | 09828R |
License State: | LA |
Medical School: | Wayne State Univ Sch Of Med, Detroit Mi 48201 |
Residency Training: | Naval Med Ctr-San Diego, General Surgery |
Graduation Year: | 1989 |