California
Humboldt
Eureka
Family Medicine
active
G86814
1983
medical activities:
patient care - 40+ hours
administration - 1 to 9 hours
license issued on March 5, 2003; expires on March 31, 2013
University of Utah School of Medicine (graduated in 1983)
7 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-178138