AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1023153228 |
License Number: | C4954 |
License State: | TX |
Medical School: | Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
Residency Training: | Austin State Hosp, Psychiatry; Oregon State Hosp, Psychiatry; Spectrum Hlth-Butterworth Camp, Flexible Or Transitional Year |
Graduation Year: | 1955 |