| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1558404202 |
| License Number: | 75-126 |
| License State: | NM |
| Medical School: | Univ Of Nm Sch Of Med, Albuquerque Nm 87131 |
| Residency Training: | Arrowhead Reg Med Ctr, Family Medicine |
| Graduation Year: | 1974 |
| Certifications: | Occupational Medicine |