| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1588833990 |
| License Number: | D0066573 |
| License State: | MD |
| Medical School: | Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212 |
| Residency Training: | Univ Tx Sch Of Pub Hlth, General Preventive Medicine; Mercy Hosp-Pittsburgh, Diagnostic Radiology; Oh State Univ Hosp, Family Medicine |
| Graduation Year: | 1994 |