California
Los Angeles
Van Nuys
Family Medicine
revoked
A23416
male
1967
medical activities:
teaching - 1 to 9 hours
other - 10 to 19 hours
license issued on July 16, 1969;
Languages: spanish
tagalog
Ethnic background: native hawaiian - filipino
University of The Philippines College of Medicine (graduated in 1967)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-66536