AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1578646329 |
License Number: | ME91765 |
License State: | FL |
Medical School: | Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
Residency Training: | D D Eisenhower Army Med Ctr, Psychiatry |
Graduation Year: | 1993 |