| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1073689287 |
| License Number: | 01044023A |
| License State: | IN |
| Medical School: | Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
| Residency Training: | St Mary'S Mercy Med Ctr, General Surgery; St Mary'S Mercy Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1959 |
| Certifications: | Surgery |