California
Nevada
Grass Valley
General Practice
active
G19362
male
1969
medical activities:
patient care - 10 to 19 hours
administration - 10 to 19 hours
license issued on October 15, 1970; expires on October 31, 2011
Primary specialty: general practice-primary
Ethnic background: latino/hispanic - south american
caucasian/white/european/middle eastern
University of Missouri-Columbia School of Medicine (graduated in 1969)
1 YEAR of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-52013