| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1255317376 |
| License Number: | 28137 |
| License State: | MN |
| Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
| Residency Training: | Legacy Good Samaritan Hosp Mc, Internal Medicine |
| Graduation Year: | 1977 |
| Certifications: | Occupational Medicine |