| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1336249986 |
| License Number: | 26201 |
| License State: | AL |
| Medical School: | Univ Of Co Sch Of Med, Denver Co 80262 |
| Residency Training: | Gorgas Army Hospital, Internal Medicine |
| Graduation Year: | 1965 |
| Certifications: | Occupational Medicine |