AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1902875339 |
License Number: | 15591 |
License State: | SC |
Medical School: | Eastern Va Med Sch Of The Med Coll Of Hampton Roads, Norfolk Va 23501 |
Residency Training: | Med Univ Sc Coll Of Med, Psychiatry |
Graduation Year: | 1989 |