AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1508931395 |
License Number: | E1473 |
License State: | AR |
Medical School: | Univ Of Ks Sch Of Med, Kansas City Ks 66103 |
Residency Training: | Univ Of Ar Coll Of Med, Psychiatry |
Graduation Year: | 1993 |