AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1255408605 |
License Number: | NC9701871 |
License State: | NC |
Medical School: | Univ Of Ne Coll Of Med, Omaha Ne 68198 |
Residency Training: | Nat'L Naval Med Ctr, Psychiatry; Nat'L Naval Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1967 |
Certifications: | Psychiatry |