Idaho
Ada
Boise
General Practice
active
CFE26996
1962
medical activities:
patient care - no hours
research - no hours
teaching - no hours
administration - no hours
other - no hours
license issued on March 31, 1965; expires on September 30, 2010
Primary specialty: general practice-primary
Washington University School of Medicine (graduated in 1962)
No affiliations
No associations
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Profile ID: FRUS-MDS-P-59776