AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1245455096 |
License Number: | 1660581205 |
License State: | UT |
Medical School: | Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
Residency Training: | Wm Beaumont Hosp, General Surgery |
Graduation Year: | 1978 |