| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1376576249 |
| License Number: | 29775 |
| License State: | MN |
| Medical School: | Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
| Residency Training: | Regions Hosp, Internal Medicine; Univ Of Mn Affil Hosps, Internal Medicine |
| Graduation Year: | 1983 |
| Certifications: | Internal Medicine; Occupational Medicine |