AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1124107453 |
License Number: | 3258 |
License State: | AL |
Medical School: | Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
Residency Training: | Univ Tx Med Branch Hosps, Psychiatry; Healthone Rose Med Ctr, Flexible Or Transitional Year |
Graduation Year: | 1957 |