AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1972542215 |
License Number: | 49568 |
License State: | MA |
Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
Residency Training: | Wash Univ Sch Of Med, Psychiatry; Barnes-Jewish Hosp-S Campus, Psychiatry; Wm N Wishard Mem Hosp, Flexible Or Transitional Year |
Graduation Year: | 1968 |
Certifications: | Psychiatry |