California
San Joaquin
Stockton
Other Medical Practice
active
A89128
male
2002
medical activities:
patient care - 30 to 39 hours
research - no hours
teaching - no hours
administration - 1 to 9 hours
other - no hours
license issued on October 15, 2004; expires on April 30, 2012
Primary specialty: other medical practice
Oral Surgeon
University of Nebraska College of Medicine (graduated in 2002)
4 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-164031