Gender: M

Race: C

Birth Date: 11/07/1919

Death Date: 08/19/1965

Place of Birth: Baltimore, MD

Year Medical License Issued: 1950

Medical School: Univ. of Maryland, Baltimore

Medical School Location: MD

Degree: MD

Graduation Date: 1943

References:

File and photograph water-damaged.

Certified by TX Board?: Y

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