| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1700046422 |
| License Number: | G9084 |
| License State: | TX |
| Medical School: | Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Residency Training: | David Grant Usaf Med Ctr, Family Medicine; Wilford Hall Med Ctr Aetc, Flexible Or Transitional Year |
| Graduation Year: | 1975 |
| Certifications: | Family Practice |