AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1487771374 |
License Number: | 01061419A |
License State: | IN |
Medical School: | Stanford Univ Sch Of Med, Stanford Ca 94305 |
Residency Training: | Univ Of Wa Sch Pub Hlth, General Preventive Medicine; Usphs Hosp, Internal Medicine |
Graduation Year: | 1973 |
Certifications: | General Preventive Medicine; Occupational Medicine |