AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1609848886 |
License Number: | 01023437A |
License State: | IN |
Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
Residency Training: | Clarian Indiana Univ Hosp, Psychiatry |
Graduation Year: | 1970 |