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Gender: M

Race:

Birth Date: 1917

Death Date:

Place of Birth: ,

Year Medical License Issued:

Medical School:

Medical School Location:

Degree:

Graduation Date:

References: Port: HAM-TMC Library - N-1159 1954 (b&w)

Certified by TX Board?:

Location:

Specialty: Internal Medicine

Secondary Specialty:

Notes: