| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1831120229 |
| License Number: | 35.080322 |
| License State: | OH |
| Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
| Residency Training: | Childrens Hosp Med Ctr, Medical Genetics |
| Graduation Year: | 1999 |