AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1801812938 |
License Number: | 31216 |
License State: | IA |
Medical School: | Univ Of Ky Coll Of Med, Lexington Ky 40536 |
Residency Training: | Naval Med Ctr-San Diego, Psychiatry |
Graduation Year: | 1983 |
Certifications: | Psychiatry |