| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1801871827 |
| License Number: | OS7279 |
| License State: | FL |
| Medical School: | Philadelphia Coll Of Osteopathic Medicine, Philadelphia Pa 19131 |
| Residency Training: | Tripler Army Med Ctr, Ophthalmology; Letterman Army Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1979 |