| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1033234265 |
| License Number: | 5688 |
| License State: | MS |
| Medical School: | Univ Of Ms Sch Of Med, Jackson Ms 39216 |
| Residency Training: | University Hosp, General Surgery; University Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1968 |