| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1740492909 |
| License Number: | 4301072234 |
| License State: | MI |
| Medical School: | Ross University-Dominica, WI |
| Residency Training: | Wayne St Univ-Detroit M C, General Preventive Medicine; Wayne St Univ-Detroit M C, Family Medicine; Prince George'S Hosp Ctr, Internal Medicine |
| Graduation Year: | 1986 |