Gender: M

Race: C

Birth Date: 07/14/1926

Death Date: 02/20/1961

Place of Birth: St. Petersburg, FL

Year Medical License Issued: 1955

Medical School: College of Osteopathic Physicians & Surgeons, Alex

Medical School Location: VA

Degree: DO

Graduation Date: 1953

References: Jr.

Certified by TX Board?: Y

Location: El Paso

Specialty:

Secondary Specialty:

Notes: