AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1972662336 |
License Number: | 45075 |
License State: | MA |
Medical School: | Med Coll Of Ga Sch Of Med, Augusta Ga 30912 |
Residency Training: | Usaf Sch Aerospace Med, General Preventive Medicine; Wright-Patterson Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1975 |