AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1780835306 |
License Number: | H0042798 |
License State: | MD |
Medical School: | Philadelphia Coll Of Osteopathic Medicine, Philadelphia Pa 19131 |
Residency Training: | Philadelphia State Hosp, Psychiatry |
Graduation Year: | 1965 |