| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1447370788 |
| License Number: | 20190 |
| License State: | SC |
| Medical School: | Georgetown Univ Sch Of Med, Washington Dc 20007 |
| Residency Training: | Santa Barbara Cottage Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1975 |
| Certifications: | Occupational Medicine |