| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1700936838 |
| License Number: | KS15203 |
| License State: | KS |
| Medical School: | Univ Of Ks Sch Of Med, Kansas City Ks 66103 |
| Residency Training: | Via Christi Reg Mc/St Joseph, Internal Medicine; Via Christi Reg Mc/St Joseph, Flexible Or Transitional Year |
| Graduation Year: | 1972 |
| Certifications: | Family Practice; Occupational Medicine |