AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1346388451 |
License Number: | MD00015616 |
License State: | WA |
Medical School: | Creighton Univ Sch Of Med, Omaha Ne 68178 |
Residency Training: | Scott Medical Ctr, Flexible Or Transitional Year |
Graduation Year: | 1973 |