| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1881928760 |
| License Number: | 16377 |
| License State: | AZ |
| Medical School: | Univ Of Az Coll Of Med, Tucson Az 85724 |
| Residency Training: | Vet Affairs Med Ctr, Psychiatry |
| Graduation Year: | 1983 |
| Certifications: | Public Health & General Preventive Medic |