| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1790873693 |
| License Number: | 2004018764 |
| License State: | MO |
| Medical School: | La State Univ Sch Of Med In New Orleans, New Orleans La 70112 |
| Residency Training: | Usaf Sch Aerospace Med, Aerospace Medicine; Tulane U Sch Ph Trop Med, General Preventive Medicine; Wright-Patterson Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1975 |
| Certifications: | Occupational Medicine |