California
Santa Cruz
Santa Cruz
Family Medicine
active
G77739
male
1980
medical activities:
patient care - 40+ hours
administration - 1 to 9 hours
license issued on October 14, 1993; expires on March 31, 2013
Family / General
Ethnic background: caucasian/white/european/middle eastern
University of Illinois College of Medicine (graduated in 1980)
3 YEARS of post graduate training
Graduated in year 1980, Medical School: University of Il College of Medicine, Chicago, IL 60680
No affiliations
No associations
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Profile ID: FRUS-MDS-P-67564