AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1053381657 |
License Number: | 19817 |
License State: | MN |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Fairview-Univ Med Ctr, Psychiatry; Fairview-Univ Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1970 |