| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1902086655 |
| License Number: | MD00025039 |
| License State: | WA |
| Medical School: | Med Coll Of Wi, Milwaukee Wi 53226 |
| Residency Training: | Med Coll Wi Affil Hosps, Otolaryngology; St Luke'S Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1976 |