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Gender: M

Race:

Birth Date: 1945

Death Date:

Place of Birth: ,

Year Medical License Issued:

Medical School: UT Health Science Center, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1976

References: Note in Fayette County Record 6/19/2007 p.1.

Certified by TX Board?:

Location: La Grange

Specialty: Family Medicine

Secondary Specialty:

Notes: