AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1861494106 |
License Number: | 6298 |
License State: | TN |
Medical School: | Univ Of Louisville Sch Of Med, Louisville Ky 40202 |
Residency Training: | The Medical Ctr Inc, Flexible Or Transitional Year |
Graduation Year: | 1961 |