AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1659425353 |
License Number: | OP00001255 |
License State: | WA |
Medical School: | Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312 |
Residency Training: | Good Samaritan Reg Med Ctr, Psychiatry |
Graduation Year: | 1985 |