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Gender: M

Race:

Birth Date: 1970

Death Date:

Place of Birth: ,

Year Medical License Issued:

Medical School: New York College of Osteopathic Medicine

Medical School Location: NY

Degree: DO

Graduation Date: 2003

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

Certified by TX Board?:

Location: La Grange

Specialty: Family Medicine

Secondary Specialty:

Notes: