| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1770567810 |
| License Number: | 20967 |
| License State: | MN |
| Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
| Residency Training: | Hennepin Co Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1972 |
| Certifications: | Emergency Medicine |