AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1548476450 |
License Number: | 2034 |
License State: | HI |
Medical School: | Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
Residency Training: | Usphs Hosp, Flexible Or Transitional Year |
Graduation Year: | 1969 |