| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1881714541 |
| License Number: | F8593 |
| License State: | TX |
| Medical School: | Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Residency Training: | St Anthony Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1966 |
| Certifications: | Occupational Medicine |