AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1962555086 |
License Number: | 18414 |
License State: | KY |
Medical School: | Univ Of Ky Coll Of Med, Lexington Ky 40536 |
Residency Training: | Univ Of Ky Hosp-Chandler Mc, Psychiatry |
Graduation Year: | 1975 |