| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1578748174 |
| License Number: | 4301040063 |
| License State: | MI |
| Medical School: | Meharry Med Coll Sch Of Med, Nashville Tn 37208 |
| Residency Training: | G W Hubbard Hosp-Meharry Col, Anatomic And Clinical Pathology; G W Hubbard Hosp-Meharry Col, Flexible Or Transitional Year |
| Graduation Year: | 1962 |
| Certifications: | Occupational Medicine |