California
Lake
Lakeport
Family Medicine
active
C27750
male
1963
medical activities:
patient care - 30 to 39 hours
administration - 10 to 19 hours
license issued on November 15, 1965; expires on October 31, 2011
Primary specialty: general practice-primary
Family / General
Specialist for: Family Practice
Indiana University School of Medicine (graduated in 1963)
1 YEAR of post graduate training
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Profile ID: FRUS-MDS-P-98545