| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1588689335 |
| License Number: | 35-054150 |
| License State: | OH |
| Medical School: | Univ Of Ms Sch Of Med, Jackson Ms 39216 |
| Residency Training: | Childrens Hosp Med Ctr, Pediatrics |
| Graduation Year: | 1986 |
| Certifications: | Pediatrics |