| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1972531747 |
| License Number: | 3435 |
| License State: | AK |
| Medical School: | Univ Of Nd Sch Of Med, Grand Forks Nd 58201 |
| Residency Training: | Naval Hospital, Anesthesiology; Naval Hospital, Flexible Or Transitional Year |
| Graduation Year: | 1979 |
| Certifications: | Anesthesiology |