| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1134146806 |
| License Number: | 5117 |
| License State: | AK |
| Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
| Residency Training: | Tx Tech Univ Hlth Sci Ctr, Pain Management; In Univ Sch Of Med, Anesthesiology; St Vincent Hosp Hlthcare Ctr, Internal Medicine; In Univ Sch Of Med, General Surgery |
| Graduation Year: | 1997 |