AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1225112915 |
License Number: | 5101003909 |
License State: | MI |
Medical School: | Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124 |
Residency Training: | Genesee-Comm Mntl Hlth Ser, Psychiatry; Clinton Valley Ctr, Psychiatry |
Graduation Year: | 1953 |