Massachusetts
Barnstable
Provincetown
Gastroenterology
revoked
G36739
male
1972
medical activities:
patient care - 40+ hours
research - 1 to 9 hours
teaching - 1 to 9 hours
administration - 1 to 9 hours
other - no hours
license issued on September 21, 1994;Primary specialty: gastroenterolog-primary
Secondary specialty: general practice
New York Medical College (graduated in 1972)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-116268