| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1225025364 |
| License Number: | 46501-020 |
| License State: | WI |
| Medical School: | Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814 |
| Residency Training: | Usaf Sch Aerospace Med, Aerospace Medicine; Malcolm Grow Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1981 |
| Certifications: | Aerospace Medicine; Occupational Medicine |