AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1518171644 |
License Number: | 35 022740 |
License State: | OH |
Medical School: | Oh State Univ Coll Of Med, Columbus Oh 43210 |
Residency Training: | Miami Valley Hosp, Flexible Or Transitional Year |
Graduation Year: | 1958 |
Certifications: | Family Practice |