AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1255333092 |
License Number: | 01046614A |
License State: | IN |
Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
Residency Training: | In Univ Sch Of Med, Psychiatry; St Louis Univ Sch Of Med, Obstetrics And Gynecology |
Graduation Year: | 1993 |