| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1073674222 |
| License Number: | D0009138 |
| License State: | MD |
| Medical School: | Or Hlth Sci Univ Sch Of Med, Portland Or 97201 |
| Residency Training: | Walter Reed Army Med Ctr, Internal Medicine; Walter Reed Army Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1969 |
| Certifications: | Allergy & Immunology; Internal Medicine; Occupational Medicine |