AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1093795650 |
License Number: | 34005388M |
License State: | OH |
Medical School: | "Kirksville College Of Osteopathic Medicine, Kirksville Mo 63501" |
Residency Training: | "Univ Louisville Sch Of Med, Nephrology" |
Graduation Year: | 1990 |