AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1679511521 |
License Number: | 36950 |
License State: | MA |
Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
Residency Training: | Mc Lean Hosp, Psychiatry |
Graduation Year: | 1973 |
Certifications: | Psychiatry |