AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1356442503 |
License Number: | 19711 |
License State: | CO |
Medical School: | Northwestern Univ Med Sch, Chicago Il 60611 |
Residency Training: | C F Menninger Mem Hosp, Psychiatry; Passavant Pavillion, Flexible Or Transitional Year |
Graduation Year: | 1957 |
Certifications: | Psychiatry |