| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1649233248 |
| License Number: | MD052292L |
| License State: | PA |
| Medical School: | Univ Of Wi Med Sch, Madison Wi 53706 |
| Residency Training: | Usphs Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1970 |
| Certifications: | Family Practice; Occupational Medicine |