AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1609089796 |
License Number: | 19504 |
License State: | MN |
Medical School: | "Northwestern Univ Med Sch, Chicago Il 60611" |
Residency Training: | "Vet Affairs Med Ctr, Internal Medicine; Wesley Pavillion, Internal Medicine" |
Graduation Year: | 1969 |
Certifications: | Internal Medicine |