AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1225106032 |
License Number: | 25516 |
License State: | OR |
Medical School: | Columbia Univ Coll of Physicians & Surgeons, New York NY 10032 |
Residency Training: | Or Hlth Sci Univ Hosp, Psychiatry |
Graduation Year: | 2001 |