| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1497732531 |
| License Number: | 35-04-2041-R |
| License State: | OH |
| Medical School: | Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
| Residency Training: | Wilson Mem Reg Med Ctr, Family Medicine |
| Graduation Year: | 1973 |
| Certifications: | Family Practice; Occupational Medicine |