AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1477506095 |
License Number: | 20A7769 |
License State: | CA |
Medical School: | Wayne State Univ Sch Of Med, Detroit Mi 48201 |
Residency Training: | Mi State Univ Clinical Ctr, Psychiatry |
Graduation Year: | 1984 |