| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1568418382 |
| License Number: | 35054372B |
| License State: | OH |
| Medical School: | Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267 |
| Residency Training: | Wright State Univ Sch Of Med, General Surgery |
| Graduation Year: | 1984 |