| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1861483364 |
| License Number: | 34159 |
| License State: | WI |
| Medical School: | Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814 |
| Residency Training: | Us Army Environ Hyg Agency, Occupational Medicine Fitzsimons Army Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1991 |