| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1396773222 |
| License Number: | MD00025084 |
| License State: | WA |
| Medical School: | Univ Of Ia Coll Of Med, Iowa City Ia 52242 |
| Residency Training: | Med Coll Wi Affil Hosps, General Preventive Medicine; Med Coll Wi Affil Hosps, Family Medicine |
| Graduation Year: | 1983 |
| Certifications: | Public Health & General Preventive Medic |