Louisiana
Tangipahoa
Ponchatoula
Other Medical Practice
active
C42069
male
1976
medical activities:
patient care - 20 to 29 hours
teaching - 1 to 9 hours
administration - 1 to 9 hours
other - no hours
license issued on November 25, 1985; expires on August 31, 2011
Primary specialty: other medical practice
Secondary specialty: emergency medicine
Ethnic background: caucasian/white/european/middle eastern
Indiana University School of Medicine (graduated in 1976)
3 YEARS of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-95720