New Jersey
Union
Elizabeth
Urology
canceled
G17769
male
1966
medical activities:
no activities identified
license issued on December 10, 1969;
Urologist
Specialist for: Urology
New York Medical College (graduated in 1966)
Graduated in year 1966, Medical School: New York Medicine College, Valhalla, NY 10595
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Profile ID: FRUS-MDS-P-30241