California
San Bernardino
Redlands
Other Medical Practice
active
GFE22620
male
1971
medical activities:
patient care - 30 to 39 hours
administration - 1 to 9 hours
license issued on July 12, 1972; expires on April 30, 2009
Primary specialty: other medical practice
Ethnic background: caucasian/white/european/middle eastern
Creighton University School of Medicine (graduated in 1971)
3 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-170153