AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1578789335 |
License Number: | MD00021497 |
License State: | WA |
Medical School: | Univ Of Nd Sch Of Med, Grand Forks Nd 58201 |
Residency Training: | University Med Ctr, Psychiatry |
Graduation Year: | 1980 |
Certifications: | Psychiatry |