California
Orange
Costa Mesa
General Practice
active
G13309
male
1962
medical activities:
patient care - 30 to 39 hours
license issued on June 19, 1967; expires on July 31, 2012
Primary specialty: general practice-primary
St. Louis University School of Medicine (graduated in 1962)
4 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-53865