| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1447343967 |
| License Number: | MD00016756 |
| License State: | WA |
| Medical School: | Or Hlth Sci Univ Sch Of Med, Portland Or 97201 |
| Residency Training: | Wright State Univ Sch Of Med, Aerospace Medicine; Sacred Heart Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1977 |
| Certifications: | Aerospace Medicine; Occupational Medicine; Public Health & General Preventive Medic |