| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1104876010 |
| License Number: | 21058 |
| License State: | MN |
| Medical School: | Univ Of Louisville Sch Of Med, Louisville Ky 40202 |
| Residency Training: | Hennepin Co Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1970 |
| Certifications: | Family Practice; Occupational Medicine |