| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1912963562 |
| License Number: | 35.067928 |
| License State: | OH |
| Medical School: | Med Coll Of Ohio, Toledo Oh 43699 |
| Residency Training: | St Joseph Mercy Hlth Sys, Internal Medicine |
| Graduation Year: | 1992 |
| Certifications: | Occupational Medicine |