AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1164572251 |
License Number: | 13914 |
License State: | NE |
Medical School: | Univ Of Nd Sch Of Med, Grand Forks Nd 58201 |
Residency Training: | Univ Of Ne Coll Of Med, Psychiatry |
Graduation Year: | 1976 |
Certifications: | Psychiatry |