| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1457320228 |
| License Number: | 4301047722 |
| License State: | MI |
| Medical School: | "Mi State Univ Coll Of Human Med, East Lansing Mi 48824" |
| Residency Training: | "Mi State Univ Coll Human Med, Pediatrics" |
| Graduation Year: | 1983 |
| Certifications: | Clinical Genetics; Pediatrics |