Gender: M

Race: C

Birth Date: 05/29/1920

Death Date: 08/18/1957

Place of Birth: , NY

Year Medical License Issued: 1951

Medical School: Chicago Medical School

Medical School Location: IL

Degree: MD

Graduation Date: 1949

References:

File and photograph are water-damaged.

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: