Idaho
Ada
Boise
Surgery: Neurosurgery
canceled
G31405
male
1974
medical activities:
no activities identified
license issued on January 26, 1976;
Neurosurgeon
Specialist for: Neurosurgery
Loma Linda University School of Medicine (graduated in 1974)
Graduated in year 1974, Medical School: Loma Linda University School of Medicine, Loma Linda, CA 92350
Saint Alphonsus Regional Medical Center
St. Luke's Boise Medical Center
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Profile ID: FRUS-MDS-P-115230