AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1962476168 |
License Number: | 39989 |
License State: | WI |
Medical School: | Wayne State Univ Sch Of Med, Detroit Mi 48201 |
Residency Training: | Northwestern Univ Med Sch, Psychiatry |
Graduation Year: | 1993 |