| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1841343043 |
| License Number: | 26308 |
| License State: | KY |
| Medical School: | Med Univ Of Sc Coll Of Med, Charleston Sc 29425 |
| Residency Training: | Baylor Coll Of Med, General Surgery Baylor Coll Of Med, Flexible Or Transitional Year |
| Graduation Year: | 1977 |