| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1790807493 |
| License Number: | 20881 |
| License State: | AZ |
| Medical School: | Tufts Univ Sch Of Med, Boston Ma 02111 |
| Residency Training: | Univ Of Az Coll Of Med, Nuclear Medicine; Brockton Hosp, General Practice |
| Graduation Year: | 1986 |