AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1275665085 |
License Number: | 4662 |
License State: | AK |
Medical School: | Mi State Univ Coll Of Human Med, East Lansing Mi 48824 |
Residency Training: | Univ Of Fl Coll Of Med, Psychiatry |
Graduation Year: | 1996 |
Certifications: | Psychiatry |