AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1124136627 |
License Number: | 20148 |
License State: | AZ |
Medical School: | Univ Of Il Coll Of Med, Chicago Il 60680 |
Residency Training: | Butler Hosp, Psychiatry; Maine Med Ctr, Psychiatry |
Graduation Year: | 1983 |
Certifications: | Psychiatry |