AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1063560134 |
License Number: | 12167 |
License State: | GA |
Medical School: | Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455 |
Residency Training: | Homewood Hosp Ctr-N Campus, General Surgery; Usphs Hosp, Flexible Or Transitional Year |
Graduation Year: | 1961 |