California
Santa Clara
San Jose
Family Medicine
active
G26797
1970
medical activities:
patient care - 30 to 39 hours
license issued on May 15, 1974; expires on May 31, 2012
Primary specialty: family practice
Specialist for: Family Practice
State University of N.y. Upstate Medical Ctr, College of Medicine (graduated in 1970)
1 YEAR of post graduate training
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Profile ID: FRUS-MDS-P-190787