| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1457351702 |
| License Number: | 39276 |
| License State: | MI |
| Medical School: | Yonsei Univ, Coll Of Med, Sudai-Moon-Ku, Seoul, So Korea |
| Residency Training: | Barberton Citizens Hosp, General Practice |
| Graduation Year: | 1972 |
| Certifications: | Occupational Medicine |