California
San Diego
San Marcos
General Practice
deceased
G37590
male
1976
medical activities:
patient care - 40+ hours
administration - 1 to 9 hours
license issued on July 24, 1978;Primary specialty: general practice-primary
Secondary specialty: occupational medicine
sports medicine
Ethnic background: american indian/ native american/alaskan native
caucasian/white/european/middle eastern
Oregon Health Sciences University School of Medicine (graduated in 1976)
2 YEARS of post graduate training
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Profile ID: FRUS-MDS-P-104543