Gender: M

Race: C

Birth Date: 06/29/1934

Death Date: 07/11/1973

Place of Birth: Clovis, NM

Year Medical License Issued: 1972

Medical School: Kansas City College Osteopathic Medicine, Kansas C

Medical School Location: MO

Degree: DO

Graduation Date: 1971

References:

Certified by TX Board?: Y

Location: Dallas

Specialty: Family Medicine

Secondary Specialty:

Notes: