| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1073696159 |
| License Number: | 35036045 |
| License State: | OH |
| Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
| Residency Training: | Univ Of Ky Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1973 |
| Certifications: | Emergency Medicine; Occupational Medicine |