Maryland
Howard
Ellicott City
Family Medicine
active
G58277
male
1985
medical activities:
patient care - 30 to 39 hours
other - 20 to 29 hours
license issued on August 18, 1986; expires on January 31, 2012
Primary specialty: family practice
Ethnic background: latino/hispanic - mexican
native hawaiian - guamanian
Northwestern University Medical School (graduated in 1985)
4 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-65976