| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1528180841 |
| License Number: | 5101016052 |
| License State: | MI |
| Medical School: | Chicago Coll Of Osteo Med, Midwestern Univ, Chicago IL 60615 |
| Residency Training: | Loyola Univ Med Ctr, Psychiatry; Chicago Osteo Hosps & M C, Psychiatry; Chicago Osteo Hosps & M C, Flexible Or Transitional Year |
| Graduation Year: | 1987 |