California
San Luis Obispo
Templeton
Family Medicine
active
G32482
male
1975
medical activities:
patient care - no hours
research - no hours
teaching - no hours
administration - 1 to 9 hours
other - 10 to 19 hours
license issued on July 23, 1976; expires on April 30, 2011
Ethnic background: caucasian/white/european/middle eastern
Indiana University School of Medicine (graduated in 1975)
5 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-3761