AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1104010362 |
License Number: | 12184 |
License State: | GA |
Medical School: | Univ Of Ms Sch Of Med, Jackson Ms 39216 |
Residency Training: | Inst Of Living Hosp, Psychiatry; Naval Med Ctr-San Diego, Flexible Or Transitional Year |
Graduation Year: | 1961 |
Certifications: | Psychiatry |