AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1134450430 |
License Number: | 1799201205 |
License State: | UT |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Univ Of Ut Med Ctr, Occupational Medicine Univ Of Ut Med Ctr, General Surgery |
Graduation Year: | 1987 |