| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1295702124 |
| License Number: | 101040327 |
| License State: | VA |
| Medical School: | Univ Of Md Sch Of Med, Baltimore Md 21201 |
| Residency Training: | Nat'L Naval Med Ctr, Internal Medicine |
| Graduation Year: | 1983 |
| Certifications: | Occupational Medicine |