AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1790858074 |
License Number: | R7E05 |
License State: | MO |
Medical School: | Univ Of Ar Coll Of Med, Little Rock Ar 72205 |
Residency Training: | Brooke Army Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1978 |
Certifications: | Public Health & General Preventive Medic |