AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1639129018 |
License Number: | 187326 |
License State: | NY |
Medical School: | Northeastern Oh Univs Coll Of Med, Rootstown Oh 44272 |
Residency Training: | Pacific Presby Med Ctr, Psychiatry |
Graduation Year: | 1985 |
Certifications: | Psychiatry |