AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1467502856 |
License Number: | 5101007889 |
License State: | MI |
Medical School: | Mi State Univ Coll Of Human Med, East Lansing Mi 48824 |
Residency Training: | Mi State Univ Clinical Ctr, Psychiatry |
Graduation Year: | 1980 |
Certifications: | Psychiatry |