AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1124108675 |
License Number: | 1022685 |
License State: | IN |
Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
Residency Training: | Clarian Indiana Univ Hosp, Child & Adolescent Psychiatry; Clarian Methodist Hosp Of Indi, Flexible Or Transitional Year |
Graduation Year: | 1969 |