| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1306951223 |
| License Number: | 4301037761 |
| License State: | MI |
| Medical School: | Indiana University School Of Medicine, Indianapolis In 46202 |
| Residency Training: | Barnes-Jewish Hosp-S Campus, Psychiatry; Bronson Methodist Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1971 |
| Certifications: | Psychiatry |