| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1801832050 |
| License Number: | MD00019185 |
| License State: | WA |
| Medical School: | Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284 |
| Residency Training: | Worcester City Hosp, Emergency Medicine; Worcester City Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1978 |
| Certifications: | Emergency Medicine |