| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1972790848 |
| License Number: | 01059216A |
| License State: | IN |
| Medical School: | Wayne State Univ Sch Of Med, Detroit Mi 48201 |
| Residency Training: | St John Hosp & Med Ctr, Pediatrics; St John Hosp & Med Ctr, Internal Medicine |
| Graduation Year: | 1977 |
| Certifications: | Internal Medicine; Occupational Medicine; Pediatrics |