AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1821110396 |
License Number: | 36085741 |
License State: | IL |
Medical School: | Univ Of Il Coll Of Med, Chicago Il 60680 |
Residency Training: | Univ Ca San Diego Med Ctr, Psychiatry |
Graduation Year: | 1988 |