| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1124078977 |
| License Number: | 5101008685 |
| License State: | MI |
| Medical School: | Mi State Univ Coll Of Human Med, East Lansing Mi 48824 |
| Residency Training: | Lafayette Clinic, Psychiatry |
| Graduation Year: | 1983 |
| Certifications: | Psychiatry |