Massachusetts
Suffolk
Brighton
Other Medical Practice
canceled
G12914
1964
medical activities:
administration - 40+ hours
license issued on February 15, 1967;Primary specialty: other medical practice
Ethnic background: caucasian/white/european/middle eastern
Boston University School of Medicine (graduated in 1964)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-189988