AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1417156332 |
License Number: | 5101011931 |
License State: | MI |
Medical School: | Mi State Univ Coll Of Human Med, East Lansing Mi 48824 |
Residency Training: | Oh State Univ Hosp, Psychiatry |
Graduation Year: | 1992 |