| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1114929668 |
| License Number: | MD00033521 |
| License State: | WA |
| Medical School: | "Med Coll Of Ga Sch Of Med, Augusta Ga 30912" |
| Residency Training: | "Univ Tx Med Branch Hosps, Nephrology; Univ Tx Med Branch Hosps, Internal Medicine" |
| Graduation Year: | 1979 |
| Certifications: | Internal Medicine |