| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1366771271 |
| License Number: | 16269 |
| License State: | AZ |
| Medical School: | Med Coll Of Wi, Milwaukee Wi 53226 |
| Residency Training: | University Med Ctr, Occupational Medicine; Union Mem Hosp, Obstetrics And Gynecology |
| Graduation Year: | 1983 |
| Certifications: | Occupational Medicine |