| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1437278447 |
| License Number: | 89-197 |
| License State: | NM |
| Medical School: | Univ Auto De Ciudad Juarez, Esc De Med, Ciudad Juarez, Chihuahua |
| Residency Training: | Martin Army Comm Hosp, Family Medicine; Brooke Army Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1979 |