| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1710097803 |
| License Number: | 17511 |
| License State: | OK |
| Medical School: | "Northwestern Univ Med Sch, Chicago Il 60611" |
| Residency Training: | "Brigham & Women'S Hosp, Internal Medicine" |
| Graduation Year: | 1974 |
| Certifications: | Internal Medicine |