AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1205054210 |
License Number: | MD21780 |
License State: | OR |
Medical School: | Or Hlth Sci Univ Sch Of Med, Portland Or 97201 |
Residency Training: | Or Hlth Sci Univ Hosp, Psychiatry |
Graduation Year: | 1997 |