| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1396717567 |
| License Number: | 32556 |
| License State: | WI |
| Medical School: | Mayo Med Sch, Rochester Mn 55905 |
| Residency Training: | Us Army Environ Hyg Agency, Occupational Medicine; Tripler Army Med Ctr, Internal Medicine |
| Graduation Year: | 1982 |
| Certifications: | Occupational Medicine |