California
Nevada
Truckee
General Practice
canceled
G45629
1980
medical activities:
patient care - 30 to 39 hours
administration - 1 to 9 hours
license issued on July 27, 1981;Primary specialty: general practice-primary
Secondary specialty: other medical practice
Ethnic background: caucasian/white/european/middle eastern
University of Wisconsin Medical School (graduated in 1980)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-157495