AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1033221692 |
License Number: | 01041287A |
License State: | IN |
Medical School: | Wright State Univ Sch Of Med, Dayton Oh 45401 |
Residency Training: | Eastern Va Med Sch, Psychiatry |
Graduation Year: | 1989 |