AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1568492072 |
License Number: | LT 2248 |
License State: | NH |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Mental Hlth Inst-Cherokee, Psychiatry; St Marys Hp-Carondelet Com, Flexible Or Transitional Year |
Graduation Year: | 1959 |