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Gender: M

Race:

Birth Date: 1947

Death Date: 04/11/1975

Place of Birth: Dallas, TX

Year Medical License Issued:

Medical School: UT Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date:

References: Obit: TX Med 71(9):130, Sept. 1975.

Certified by TX Board?:

Location: Silsbee

Specialty:

Secondary Specialty:

Notes: