| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1972825396 |
| License Number: | 30581 |
| License State: | CO |
| Medical School: | Univ Of Az Coll Of Med, Tucson Az 85724 |
| Residency Training: | Univ Hosp-S Tx Med Ctr, Internal Medicine |
| Graduation Year: | 1981 |
| Certifications: | Internal Medicine |