Gender: M

Race: C

Birth Date: 02/12/1930

Death Date: 06/27/1972

Place of Birth: Dallas, TX

Year Medical License Issued: 1956

Medical School: Univ. Texas Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1956

References:

Certified by TX Board?: Y

Location: Hillsboro

Specialty:

Secondary Specialty:

Notes: