AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1194755504 |
License Number: | 35081181 |
License State: | OH |
Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
Residency Training: | Wright State Univ Sch Of Med, Psychiatry |
Graduation Year: | 2000 |