| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1144297177 |
| License Number: | 1602 |
| License State: | WV |
| Medical School: | Kirksville College Of Osteopathic Medicine, Kirksville Mo 63501 |
| Residency Training: | West Virginia Univ Hosps, Internal Medicine |
| Graduation Year: | 1996 |
| Certifications: | Internal Medicine; Occupational Medicine |