California
Mendocino
Fort Bragg
Family Medicine
active
G27703
male
1973
medical activities:
patient care - 20 to 29 hours
research - no hours
teaching - no hours
administration - no hours
other - no hours
license issued on August 6, 1974; expires on December 31, 2012
Primary specialty: family practice
Specialist for: Family Practice
Ethnic background: caucasian/white/european/middle eastern
Medical College of Wisconsin (graduated in 1973)
1 YEAR of post graduate training
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Profile ID: FRUS-MDS-P-195683