AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1124126578 |
License Number: | OS007672L |
License State: | PA |
Medical School: | Philadelphia Coll Of Osteopathic Medicine, Philadelphia Pa 19131 |
Residency Training: | Norristown State Hosp, Psychiatry |
Graduation Year: | 1991 |