Edit Infobox medical person: Template:Introprovider

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Name:
Profession:
Specialties:
Years active:
Education:
Work organization:
Image:	Upload file
NPI:
Residency:
Fellowships:
Is primary care?:
Accepting new patients?:
City:

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{{#default_form:Infobox_medical_person}} {{LightGrayHeader|'''{{#sub:{{PAGENAME|PATH}}|0|-11}} profile'''}} [[File:Asclepius rod.png|Asclepius rod|50px|right|Medicine icon]] [[File:Steth pen.jpeg|left|thumb|100px|[[Special:Upload|Add image]] of Dr. {{#sub:{{PAGENAME}}|0|-11}}]] __NOEDITSECTION__ __NOTOC__ __NOINDEX__

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