| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1881652121 |
| License Number: | 115322 |
| License State: | MO |
| Medical School: | "Univ Of Ne Coll Of Med, Omaha Ne 68198" |
| Graduation Year: | 1978 |
| Certifications: | Clinical Cytogenetics; Clinical Genetics |