AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1598804411 |
License Number: | 9762 |
License State: | NH |
Medical School: | Univ Of Wi Med Sch, Madison Wi 53706 |
Residency Training: | Univ Of Wi Hosp & Cli, Flexible Or Transitional Year |
Graduation Year: | 1973 |
Certifications: | Psychiatry |