AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1639154362 |
License Number: | 12821 |
License State: | MS |
Medical School: | Univ Of Ms Sch Of Med, Jackson Ms 39216 |
Residency Training: | Naval Reg Med Ctr, Psychiatry |
Graduation Year: | 1990 |
Certifications: | Psychiatry |