Gender: M

Race: C

Birth Date: 06/28/1921

Death Date: 02/25/1959

Place of Birth: San Antonio, TX

Year Medical License Issued: 1956

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1956

References:

Certified by TX Board?: Y

Location: Galveston

Specialty:

Secondary Specialty:

Notes: