| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1760475115 |
| License Number: | 430151 |
| License State: | KS |
| Medical School: | Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430 |
| Residency Training: | North Colorado Med Ctr, Family Medicine |
| Graduation Year: | 1999 |
| Certifications: | Family Practice |