California
Orange
Newport Beach
Family Medicine
active
G25967
male
1972
medical activities:
patient care - 40+ hours
administration - 1 to 9 hours
license issued on November 5, 1973; expires on November 30, 2011
Ethnic background: caucasian/white/european/middle eastern
University of Southern California Keck School of Medicine (graduated in 1972)
4 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-41319