AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1003838186 |
License Number: | 19124 |
License State: | WV |
Medical School: | Fac De Med Et Des Sci Paramedicales, Phnom-Penh, Khmer Republic |
Residency Training: | Mass Mntl Hlth Ctr, Psychiatry |
Graduation Year: | 1973 |