| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1932204567 |
| License Number: | 1552651205 |
| License State: | UT |
| Medical School: | Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
| Residency Training: | Jackson Mem Hosp/Jackson Hlth, Flexible Or Transitional Year |
| Graduation Year: | 1969 |
| Certifications: | Emergency Medicine |