| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1235205436 |
| License Number: | 1045936 |
| License State: | IN |
| Medical School: | St Louis Univ Sch Of Med, St Louis Mo 63109 |
| Residency Training: | Oh State Univ Hosp, Occupational Medicine |
| Graduation Year: | 1988 |
| Certifications: | Occupational Medicine; Public Health & General Preventive Medic |