| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1124068846 |
| License Number: | 32945-020 |
| License State: | WI |
| Medical School: | Univ Of Co Sch Of Med, Denver Co 80262 |
| Residency Training: | Fairview-Univ Med Ctr, Internal Medicine; Regions Hosp, Internal Medicine |
| Graduation Year: | 1973 |
| Certifications: | Internal Medicine; Occupational Medicine |