| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1649209024 |
| License Number: | 27314 |
| License State: | KS |
| Medical School: | American Univ Of The Caribbean, Sch Of Med, Plymouth, Montserrat |
| Residency Training: | Forest Park Hosp, Internal Medicine |
| Graduation Year: | 1983 |