| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1891814521 |
| License Number: | 4301040351 |
| License State: | MI |
| Medical School: | Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
| Residency Training: | Or Hlth Sci Univ Hosp, General Surgery; Or Hlth Sci Univ Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1975 |
| Certifications: | Occupational Medicine |