| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1316013477 |
| License Number: | 12666 |
| License State: | OK |
| Medical School: | "Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107" |
| Residency Training: | "Thos Jefferson Univ Hosp, Nephrology; Thos Jefferson Univ Hosp, Internal Medicine" |
| Graduation Year: | 1969 |
| Certifications: | Internal Medicine |