AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1619989340 |
License Number: | 5101006328 |
License State: | MI |
Medical School: | "Kirksville College Of Osteopathic Medicine, Kirksville Mo 63501" |
Residency Training: | "Wayne St Univ Affil Hosp, Nephrology; Martin Place Hosp, Internal Medicine; Martin Place Hosp, Flexible Or Transitional Year" |
Graduation Year: | 1971 |