AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1528117215 |
License Number: | 4301033920 |
License State: | MI |
Medical School: | Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642 |
Residency Training: | Metrohealth Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1971 |
Certifications: | Family Practice |