AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1811927437 |
License Number: | MD4305 |
License State: | HI |
Medical School: | Med Coll Of Ga Sch Of Med, Augusta Ga 30912 |
Residency Training: | Univ Hi-J A Burns Sch Med, Psychiatry Med Coll Of Ga Hosp & Cli, Psychiatry |
Graduation Year: | 1977 |