| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1538286836 |
| License Number: | 4301069437 |
| License State: | MI |
| Medical School: | Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214 |
| Residency Training: | Med Coll Of Ohio Hosp, Internal Medicine |
| Graduation Year: | 1976 |
| Certifications: | Occupational Medicine |