AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1013982545 |
License Number: | 23776 |
License State: | NJ |
Medical School: | Univ Auto De Nuevo Leon, Fac De Med, Monterrey, Nuevo Leon, Mexico |
Residency Training: | Walter Reed Army Med Ctr, Psychiatry |
Graduation Year: | 1967 |
Certifications: | Psychiatry |