| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1922294479 |
| License Number: | 01055708A |
| License State: | IN |
| Medical School: | Loma Linda Univ Sch Of Med, Loma Linda Ca 92350 |
| Residency Training: | University Hosp, Inc, General Preventive Medicine; Kettering Med Ctr, Internal Medicine |
| Graduation Year: | 2000 |