| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1912929159 |
| License Number: | 35-057135 |
| License State: | OH |
| Medical School: | Med Coll Of Ohio, Toledo Oh 43699 |
| Residency Training: | Thos Jefferson Univ Hosp, General Preventive Medicine; Toledo Hosp, Family Medicine |
| Graduation Year: | 1987 |
| Certifications: | Family Practice; Occupational Medicine |