AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1417983339 |
License Number: | 34714 |
License State: | AZ |
Medical School: | Hahnemann Univ Sch Of Med, Philadelphia Pa 19102 |
Residency Training: | Albany Med Ctr Hosp, Psychiatry |
Graduation Year: | 1993 |