California
Santa Barbara
Santa Maria
Other Medical Practice
active
G83002
male
1992
medical activities:
patient care - 40+ hours
administration - 1 to 9 hours
license issued on April 12, 1996; expires on March 31, 2012
Primary specialty: other medical practice
Secondary specialty: cosmetic surgery
Oral Surgeon
University of Pennsylvania School of Medicine (graduated in 1992)
3 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-21652