| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1235106162 |
| License Number: | 101031348 |
| License State: | VA |
| Medical School: | Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298 |
| Residency Training: | West Virginia Univ Sch Med, General Preventive Medicine; Eastern Va Med Sch, Family Medicine |
| Graduation Year: | 1978 |
| Certifications: | Occupational Medicine |