AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1164431904 |
License Number: | 36077853 |
License State: | IL |
Medical School: | Southern Il Univ Sch Of Med, Springfield Il 62794 |
Residency Training: | Nat'L Naval Med Ctr, Psychiatry; Naval Hospital, Psychiatry |
Graduation Year: | 1981 |
Certifications: | Psychiatry |