| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1851377022 |
| License Number: | 86591 |
| License State: | FL |
| Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
| Residency Training: | Oh State Univ Hosp, General Preventive Medicine; Miami Valley Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1963 |
| Certifications: | Aerospace Medicine |