| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1760489918 |
| License Number: | 025209 MD00025669 |
| License State: | WA |
| Medical School: | Univ Of Ks Sch Of Med, Kansas City Ks 66103 |
| Residency Training: | Usaf Sch Aerospace Med, Aerospace Medicine; Wright-Patterson Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1966 |
| Certifications: | Aerospace Medicine |