California
Orange
Fullerton
Other Medical Practice
active
A19559
male
1959
medical activities:
patient care - no hours
research - no hours
teaching - no hours
administration - 30 to 39 hours
license issued on December 22, 1960; expires on June 30, 2013
Primary specialty: other medical practice
Ethnic background: caucasian/white/european/middle eastern
Northwestern University Medical School (graduated in 1959)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-42310