California
Ventura
Port Hueneme
General Practice
active
G21366
1970
medical activities:
patient care - no hours
research - no hours
teaching - no hours
administration - no hours
other - 1 to 9 hours
license issued on September 17, 1971; expires on September 30, 2012
Primary specialty: general practice-primary
Stanford University School of Medicine (graduated in 1970)
1 YEAR of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-95407