| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1730121021 |
| License Number: | 26319 |
| License State: | MN |
| Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
| Residency Training: | Fairview-Univ Med Ctr, Occupational Medicine; Fairview-Univ Med Ctr, Internal Medicine |
| Graduation Year: | 1980 |
| Certifications: | Occupational Medicine |