AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1235102443 |
License Number: | MB043232 |
License State: | NJ |
Medical School: | Philadelphia Coll Of Osteopathic Medicine, Philadelphia Pa 19131 |
Residency Training: | Oregon State Hosp, Psychiatry |
Graduation Year: | 1974 |
Certifications: | Psychiatry |