| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1174543524 |
| License Number: | MDF1457TX |
| License State: | TX |
| Medical School: | Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284 |
| Residency Training: | Homewood Hosp Ctr-N Campus, General Surgery |
| Graduation Year: | 1978 |