AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1023133451 |
License Number: | MD00027446 |
License State: | WA |
Medical School: | Washington Univ Sch Of Med, St Louis Mo 63110 |
Residency Training: | Univ Of Nd Sch Med & Hlth Sci, Family Practice |
Graduation Year: | 1982 |