| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1841491537 |
| License Number: | 17532 |
| License State: | IA |
| Medical School: | Univ Of Ia Coll Of Med, Iowa City Ia 52242 |
| Residency Training: | Usaf Sch Aerospace Med, Aerospace Medicine; Broadlawns Med Ctr, General Practice |
| Graduation Year: | 1966 |
| Certifications: | Aerospace Medicine |