AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1770662405 |
License Number: | 13495 |
License State: | ME |
Medical School: | Columbia Univ Coll of Physicians & Surgeons, New York NY 10032 |
Residency Training: | Lincoln Med Mntl Hlth Ctr, Psychiatry |
Graduation Year: | 1970 |