AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1659604197 |
License Number: | 35587 |
License State: | KY |
Medical School: | Med Univ Of Sc Coll Of Med, Charleston Sc 29425 |
Residency Training: | Med Ctr La New Orleans-Lsu, Flexible Or Transitional Year |
Graduation Year: | 1981 |