AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1821248097 |
License Number: | 21001 |
License State: | GA |
Medical School: | St Louis Univ Sch Of Med, St Louis Mo 63109 |
Residency Training: | Hartford Hosp, Flexible Or Transitional Year |
Graduation Year: | 1974 |
Certifications: | General Preventive Medicine |