AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1770782245 |
License Number: | 2003010744 |
License State: | MO |
Medical School: | George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037 |
Residency Training: | Univ Hi Sch Pub Hlth-Manoa, General Preventive Medicine; Gorgas Army Hospital, Flexible Or Transitional Year |
Graduation Year: | 1979 |