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Gender: M

Race: C

Birth Date: 1946

Death Date:

Place of Birth: ,

Year Medical License Issued:

Medical School: UT Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1972

References:

Port: HCMS 2005.

Certified by TX Board?:

Location: La Porte

Specialty: Surgery

Secondary Specialty:

Notes: