| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1144213927 |
| License Number: | D5913 |
| License State: | TX |
| Medical School: | "Univ Of Tx Med Branch Galveston, Galveston Tx 77550" |
| Residency Training: | "Univ Tx Med Branch Hosps, Internal Medicine Hca Wesley Med Ctr, Flexible Or Transitional Year" |
| Graduation Year: | 1969 |