AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1871693713 |
License Number: | 13177 |
License State: | AZ |
Medical School: | George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037 |
Residency Training: | Clarian Indiana Univ Hosp, Psychiatry; Memorial Hosp Of S Bend, Flexible Or Transitional Year |
Graduation Year: | 1957 |