AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1669584223 |
License Number: | M-4832 |
License State: | ID |
Medical School: | Harvard Med Sch, Boston Ma 02115 |
Residency Training: | Yale Univ Sch Of Med, Psychiatry |
Graduation Year: | 1979 |
Certifications: | Psychiatry |