| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1568480069 |
| License Number: | R5N01 |
| License State: | MO |
| Medical School: | Wayne State Univ Sch Of Med, Detroit Mi 48201 |
| Residency Training: | Sinai-Grace Hosp/Sinai Hosp, Internal Medicine |
| Graduation Year: | 1985 |
| Certifications: | Psychiatry |