California
Marin
San Rafael
Family Medicine
surrendered
G16401
male
1964
medical activities:
patient care - no hours
research - no hours
teaching - 10 to 19 hours
administration - 1 to 9 hours
other - no hours
license issued on May 8, 1969;
Ethnic background: caucasian/white/european/middle eastern
Northwestern University Medical School (graduated in 1964)
6 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-62259