AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1265468466 |
License Number: | 01025278A |
License State: | IN |
Medical School: | Univ Of Wi Med Sch, Madison Wi 53706 |
Residency Training: | Clarian Indiana Univ Hosp, Child & Adolescent Psychiatry; Clarian Indiana Univ Hosp, Psychiatry; Providence Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1973 |
Certifications: | Family Practice |