AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1073552527 |
License Number: | 25310 |
License State: | AZ |
Medical School: | Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
Residency Training: | Univ Of Ut Med Ctr, Obstetrics And Gynecology L D S Hospital, Flexible Or Transitional Year |
Graduation Year: | 1974 |