AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1164640223 |
License Number: | 15018 |
License State: | CO |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Univ Of Co Sch Of Med, Psychiatry; Co State Hosp, Psychiatry; L A Co-Usc Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1960 |