| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1811199896 |
| License Number: | J1027 |
| License State: | TX |
| Medical School: | La State Univ Sch Of Med In New Orleans, New Orleans La 70112 |
| Residency Training: | Naval Hospital, Psychiatry |
| Graduation Year: | 1977 |
| Certifications: | Psychiatry |