AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1215269980 |
License Number: | 12217 |
License State: | MT |
Medical School: | George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037 |
Residency Training: | Geo Washington Univ Sch Med, Psychiatry |
Graduation Year: | 1997 |