AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1821096041 |
License Number: | MD21006 |
License State: | TN |
Medical School: | E Tn State Univ J H Quillen Coll Of Med, Johnson City Tn 37614 |
Residency Training: | E Tn U-J H Quillen Coll Med, Psychiatry |
Graduation Year: | 1987 |