AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1780707240 |
License Number: | 11711 |
License State: | AZ |
Medical School: | Manila Central Univ, Coll Of Med, Caloocan City, Manila, Philippines |
Residency Training: | Hudson River Psych Ctr, Psychiatry; St Joseph'S Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1959 |