AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1598744419 |
License Number: | 112564 |
License State: | MO |
Medical School: | Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124 |
Residency Training: | Nat'L Capital Consortium, Psychiatry |
Graduation Year: | 1995 |