AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1215074687 |
License Number: | MD25267 |
License State: | OK |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Univ Of Mn Med Sch, Psychiatry |
Graduation Year: | 2002 |