| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1629161492 |
| License Number: | 35.048194 |
| License State: | OH |
| Medical School: | Wright State Univ Sch Of Med, Dayton Oh 45401 |
| Residency Training: | Miami Valley Hosp, Emergency Medicine; Wright State Univ Sch Of Med, Emergency Medicine |
| Graduation Year: | 1981 |
| Certifications: | Occupational Medicine |