Oregon
Multnomah
Portland
Urology
canceled
C23599
male
1957
medical activities:
no activities identified
license issued on November 24, 1961;
Surgeon (General)
Specialist for: Urology
Ohio State University College of Medicine (graduated in 1957)
Providence Portland Medical Center
Providence Saint Vincent Medical Center
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Profile ID: FRUS-MDS-P-74938