| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1932182409 |
| License Number: | 35031751 |
| License State: | OH |
| Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
| Residency Training: | Oh State Univ Hosp, General Preventive Medicine; Riverside Methodist Hosp, General Surgery; Univ Il Hosp & Cli, General Surgery |
| Graduation Year: | 1969 |
| Certifications: | Occupational Medicine |