| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1952507717 |
| License Number: | C-4278 |
| License State: | AR |
| Medical School: | Univ Of Ar Coll Of Med, Little Rock Ar 72205 |
| Residency Training: | Usaf Sch Aerospace Med, Aerospace Medicine; St Johns Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1969 |