National Provider Identifier (NPI):
1720011240
License Number:
4301080022
Medical School:
Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Residency Training:
Creighton Univ Sch Of Med, Diagnostic Radiology; St Luke'S Hosp, Flexible Or Transitional Year
Certifications:
Diagnostic Radiology