He trained at the University of Michigan and completed his residency at the University of Missouri. He initially worked with the Blackfeet Tribe in northern Montana, and then practiced in Fulton, a small town in rural Missouri. Since 2000, he has practiced and taught in a family medicine residency program in Tacoma. He has a special interest in caring for individuals with developmental disabilities. He goes on an annual medical mission trip to Honduras with a group from St. Charles Borromeo Parish.