Pennsylvania
Montgomery
Wynnewood
Family Medicine
canceled
G5938
male
1954
medical activities:
administration - no hours
license issued on April 25, 1960;
Ethnic background: caucasian/white/european/middle eastern
State University of N.y. Downstate Medical Ctr College of Medcn (graduated in 1954)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-184869