AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1699882811 |
License Number: | 13455 |
License State: | WI |
Medical School: | Univ Of Wi Med Sch, Madison Wi 53706 |
Residency Training: | Univ Of Wi Hosp & Cli, Psychiatry Sinai Samaritan Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1958 |