AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1124072426 |
License Number: | 31279 |
License State: | MO |
Medical School: | Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212 |
Residency Training: | Ar State Hosp -Dmhs, Psychiatry; Madigan Army Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1967 |