California
El Dorado
Diamond Springs
Family Medicine
suspended
G85499
male
1993
medical activities:
patient care - 40+ hours
license issued on October 29, 1999; expires on April 30, 2011
Eastern Virginia Medical School (graduated in 1993)
3 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-180954