AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1922056746 |
License Number: | 4034 |
License State: | AZ |
Medical School: | Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124 |
Residency Training: | Menninger Sch Psychiatry, Psychiatry |
Graduation Year: | 1970 |