| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1669404463 |
| License Number: | 3712 |
| License State: | AK |
| Medical School: | Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267 |
| Residency Training: | University Hosp, Inc, Psychiatry |
| Graduation Year: | 1980 |
| Certifications: | Psychiatry |