| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1780709980 |
| License Number: | 3077 |
| License State: | AZ |
| Medical School: | Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124 |
| Residency Training: | La State Univ Sch Of Med, Physical Medicine And Rehabilitation |
| Graduation Year: | 1991 |
| Certifications: | Physical Medicine & Rehabilitation |