California
San Luis Obispo
Paso Robles
Family Medicine
active
G36950
male
1977
medical activities:
patient care - 30 to 39 hours
license issued on July 1, 1978; expires on February 29, 2012
Ethnic background: caucasian/white/european/middle eastern
Southern Illinois University School of Medicine (graduated in 1977)
3 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-193666