Indiana
Porter
Portage
Internal Medicine
canceled
A46219
male
1979
medical activities:
no activities identified
license issued on June 19, 1989;
Internist
Specialist for: Internal Medicine
Sri Venkatesvara University Medical College (graduated in 1979)
Graduated in year 1979, Medical School: Sri Venkatesvara Medicine College, University Health Science, Tirupati, Ap, India
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Profile ID: FRUS-MDS-P-54347