AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1467424572 |
License Number: | 24552 |
License State: | MN |
Medical School: | Loyola Univ Of Chicago Stritch School Of Medicine, Maywood Il 60153 |
Residency Training: | Northwestern Mem Hosp, Psychiatry |
Graduation Year: | 1975 |