| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1700991353 |
| License Number: | 2003027617 |
| License State: | MO |
| Medical School: | George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037 |
| Residency Training: | Naval Operational Med Inst, General Preventive Medicine; Tripler Army Med Ctr, General Surgery |
| Graduation Year: | 1998 |
| Certifications: | Aerospace Medicine |