| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1235175274 |
| License Number: | 35066263 |
| License State: | OH |
| Medical School: | Creighton Univ Sch Of Med, Omaha Ne 68178 |
| Residency Training: | Creighton Univ Affil Hosp, Family Medicine; St Luke'S Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1969 |
| Certifications: | Occupational Medicine |