AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1720141443 |
License Number: | 128677 |
License State: | NY |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Fletcher Allen Hlth Care, Psychiatry; Abbott-Nwestern/Allina Hlth Sy, Internal Medicine |
Graduation Year: | 1971 |