| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1699824177 |
| License Number: | D0030761 |
| License State: | MD |
| Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
| Residency Training: | Johns Hopkins Hosp, Occupational Medicine; St Luke'S Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1981 |
| Certifications: | Occupational Medicine |