| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1215087366 |
| License Number: | 4301057404 |
| License State: | MI |
| Medical School: | Univ Of Il Coll Of Med, Chicago Il 60680 |
| Residency Training: | Vet Affairs Westside M C, Internal Medicine; Mt Sinai Hosp-Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1962 |
| Certifications: | Occupational Medicine |