AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1255318408 |
License Number: | 35-079023 |
License State: | OH |
Medical School: | Northeastern Oh Univs Coll Of Med, Rootstown Oh 44272 |
Residency Training: | N-Eastern Oh Univ Coll Med, Psychiatry |
Graduation Year: | 1999 |