Gender: M

Race: C

Birth Date: 06/27/1927

Death Date: 01/13/1972

Place of Birth: Oklahoma City, OK

Year Medical License Issued: 1960

Medical School: Kansas City College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1960

References:

Certified by TX Board?: Y

Location: Houston

Specialty:

Secondary Specialty:

Notes: