California
Stanislaus
Modesto
Family Medicine
deceased
A19713
male
1960
medical activities:
patient care - no hours
research - no hours
teaching - no hours
administration - no hours
license issued on July 1, 1961;
Ethnic background: caucasian/white/european/middle eastern
University of Pennsylvania School of Medicine (graduated in 1960)
6 YEARS of post graduate training
No affiliations
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Profile ID: FRUS-MDS-P-173300