| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1679568794 |
| License Number: | L6047 |
| License State: | TX |
| Medical School: | Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284 |
| Residency Training: | Univ Of Va Med Ctr, Child & Adolescent Psychiatry; Univ Of Va Med Ctr, Psychiatry |
| Graduation Year: | 1998 |