| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1043303860 |
| License Number: | MN22172 |
| License State: | MN |
| Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
| Residency Training: | Fairview-Univ Med Ctr, General Surgery |
| Graduation Year: | 1974 |
| Certifications: | Family Practice; Occupational Medicine |