| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1003876137 |
| License Number: | 34209 |
| License State: | IA |
| Medical School: | Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
| Residency Training: | Univ Iowa Hosps & Clinics, General Preventive Medicine; Ball Mem Hosp, Transitional Year |
| Graduation Year: | 2000 |