| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1376521203 |
| License Number: | 19077 |
| License State: | MN |
| Medical School: | New York Univ Sch Of Med, New York Ny 10016 |
| Residency Training: | Fairview-Univ Med Ctr, General Surgery |
| Graduation Year: | 1965 |
| Certifications: | Occupational Medicine |