| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1235124140 |
| License Number: | 170192-1205 |
| License State: | UT |
| Medical School: | Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
| Residency Training: | Wilford Hall Med Ctr Aetc, Orthopedic Surgery; Sacred Heart Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1981 |