| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1184895971 |
| License Number: | 4301047260 |
| License State: | MI |
| Medical School: | Albany Med Coll, Albany Ny 12208 |
| Residency Training: | Emma P Bradley Hosp, Child & Adolescent Psychiatry; Albany Med Ctr Hosp, Psychiatry; Berkshire Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1964 |
| Certifications: | Psychiatry |