California
Orange
Fullerton
Family Medicine
active
C22699
male
1959
medical activities:
administration - 1 to 9 hours
license issued on March 17, 1961; expires on January 31, 2013
Ethnic background: caucasian/white/european/middle eastern
Indiana University School of Medicine (graduated in 1959)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-60153