| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1982692026 |
| License Number: | 5482 |
| License State: | AK |
| Medical School: | U Of Tx Med Sch At Houston, Houston Tx 77225 |
| Residency Training: | Mary Hitchcock Mem Hosp, Anesthesiology |
| Graduation Year: | 1999 |