Idaho
Bannock
Pocatello
Family Medicine
active
G39783
male
1978
medical activities:
patient care - 30 to 39 hours
license issued on July 2, 1979; expires on November 30, 2012
Ethnic background: caucasian/white/european/middle eastern
Loma Linda University School of Medicine (graduated in 1978)
4 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-141304