AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1801998455 |
License Number: | 8455 |
License State: | TN |
Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
Residency Training: | Mental Hlth Inst-Cherokee, Psychiatry; Detroit-MacOmb Hosps Corp, Flexible Or Transitional Year |
Graduation Year: | 1961 |