| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1477515294 |
| License Number: | C5420 |
| License State: | AR |
| Medical School: | Univ Of Ar Coll Of Med, Little Rock Ar 72205 |
| Residency Training: | Jefferson Reg Med Ctr, Family Medicine |
| Graduation Year: | 1978 |