| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1003025248 |
| License Number: | 36-052085 |
| License State: | IL |
| Medical School: | Univ Of Il Coll Of Med, Chicago Il 60680 |
| Residency Training: | F G Mc Gaw Hp/Loyola Univ, Radiology St Francis Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1974 |