| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1629107529 |
| License Number: | 34005639W |
| License State: | OH |
| Medical School: | Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124 |
| Residency Training: | Us Army Environ Hyg Agency, Occupational Medicine |
| Graduation Year: | 1985 |
| Certifications: | Occupational Medicine |