| AMA Member: | No |
| Gender: | Male |
| National Provider Identifier (NPI): | 1306821202 |
| License Number: | 39022 |
| License State: | NC |
| Medical School: | Univ Of Louisville Sch Of Med, Louisville Ky 40202 |
| Residency Training: | Va Long Beach Hlthcare Sys, Psychiatry |
| Graduation Year: | 1975 |
| Certifications: | Psychiatry |