| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1700837648 |
| License Number: | 4301038067 |
| License State: | MI |
| Medical School: | Wayne State Univ Sch Of Med, Detroit Mi 48201 |
| Residency Training: | Univ Of Mi Hosps & Hlth Ctrs, Psychiatry; Maine Med Ctr, Flexible Or Transitional Year |
| Graduation Year: | 1975 |
| Certifications: | Psychiatry |