| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1720139827 |
| License Number: | 2084 |
| License State: | AK |
| Medical School: | Univ Of Ks Sch Of Med, Kansas City Ks 66103 |
| Residency Training: | Or Hlth Sci Univ Hosp, Psychiatry |
| Graduation Year: | 1980 |
| Certifications: | Psychiatry |