| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1053412361 |
| License Number: | 4301024925 |
| License State: | MI |
| Medical School: | Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
| Residency Training: | Hawthorn Ctr Hosp, Child & Adolescent Psychiatry; Lafayette Clinic, Psychiatry; Hawthorn Ctr Hosp, Psychiatry; Bronson Methodist Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1961 |