| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1235291907 |
| License Number: | 41578 |
| License State: | GA |
| Medical School: | Georgetown Univ Sch Of Med, Washington Dc 20007 |
| Residency Training: | Us Army Environ Hyg Agency, Occupational Medicine; Fitzsimons Army Med Ctr, Ophthalmology |
| Graduation Year: | 1979 |