California
San Mateo
Palo Alto
Other Medical Practice
active
G61905
male
1978
medical activities:
patient care - 10 to 19 hours
teaching - 10 to 19 hours
administration - 10 to 19 hours
license issued on November 30, 1987; expires on December 31, 2012
Primary specialty: other medical practice
Ethnic background: caucasian/white/european/middle eastern
University of Michigan Medical School (graduated in 1978)
1 YEAR of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-179778