AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1225074123 |
License Number: | 154838 |
License State: | MA |
Medical School: | First Leningrad I P Pavlov Med Inst, St Petersburg, Russia |
Residency Training: | New England Med Ctr Hosps, Psychiatry |
Graduation Year: | 1974 |