| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1275509622 |
| License Number: | 46913 |
| License State: | MN |
| Medical School: | Qingdao Med Coll, Qingdao, Shandong, China |
| Residency Training: | Hlth Partners Inst Med Educ, General Preventive Medicine; Oh State Univ Hosp, General Surgery |
| Graduation Year: | 1983 |