California
Orange
Foothill Ranch
Other Medical Practice
active
A91779
male
1999
medical activities:
patient care - 30 to 39 hours
administration - 1 to 9 hours
license issued on June 17, 2005; expires on December 31, 2012
Primary specialty: other medical practice
Oral Surgeon
Ethnic background: african-american/black/african
State University of New York At Buffalo School of Medicine (graduated in 1999)
3 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-191270