He joined Black Hills Orthopedic & Spine Center in 2015 after retiring from the United States Army after 20 years of service. He is one of a few physician assistants in the United States with a doctoral degree in clinical orthopedics from Baylor University. He was an assistant professor at Baylor University in clinical orthopedics and director of the Army Orthopedic PA Fellowship at Fort Bliss, Texas. He is certified by the National Commission on Certification of Physician Assistants.