AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1912910340 |
License Number: | 12320 |
License State: | OK |
Medical School: | Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Residency Training: | Univ Ok Hlth Sci Ctr, Flexible Or Transitional Year |
Graduation Year: | 1978 |