| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1821067802 |
| License Number: | 22014 |
| License State: | MN |
| Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
| Residency Training: | Fairview-Univ Med Ctr, Family Medicine |
| Graduation Year: | 1974 |
| Certifications: | Occupational Medicine |