Tennessee
Hamilton
Chattanooga
Family Medicine
revoked
G85186
1984
medical activities:
patient care - 20 to 29 hours
teaching - 1 to 9 hours
administration - 10 to 19 hours
license issued on May 7, 1999;Primary specialty: other medical practice
Secondary specialty: pain medicine
Specialist for: Family Practice
Ethnic background: caucasian/white/european/middle eastern
University of California San Diego School of Medicine (graduated in 1984)
1 YEAR of post graduate training
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Profile ID: FRUS-MDS-P-176121