| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1588779102 |
| License Number: | 9400512 |
| License State: | NC |
| Medical School: | Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298 |
| Residency Training: | Med Univ Sc Med Ctr, Occupational Medicine; Med Coll Of Ga Hosp & Cli, Internal Medicine |
| Graduation Year: | 1986 |
| Certifications: | Occupational Medicine |