| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1932227691 |
| License Number: | 2752 |
| License State: | OK |
| Medical School: | Ok State Univ, Coll Of Osteo Med, Tulsa, Ok 74107 |
| Residency Training: | Univ Ok Hlth Sci Ctr, Occupational Medicine |
| Graduation Year: | 1986 |
| Certifications: | Occupational Medicine |