AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1023069077 |
License Number: | 35-019550 |
License State: | OH |
Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
Residency Training: | Colmery O'Neil Vet Aff M C, Psychiatry |
Graduation Year: | 1954 |