AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1548278898 |
License Number: | 31290 |
License State: | MA |
Medical School: | Univ Nac De Colombia, Fac De Med, Bogota, Colombia |
Residency Training: | Worcester State Hosp, Psychiatry |
Graduation Year: | 1958 |
Certifications: | Psychiatry |