California
Santa Cruz
Aptos
Family Medicine
active
C32747
male
1969
medical activities:
other - 1 to 9 hours
license issued on October 7, 1970; expires on September 30, 2011
Ethnic background: caucasian/white/european/middle eastern
Ohio State University College of Medicine (graduated in 1969)
4 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-18138