| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1063438570 |
| License State: | OH |
| Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
| Residency Training: | Toledo Hosp, Family Medicine |
| Graduation Year: | 1982 |
| Certifications: | Family Practice |