Gender: M

Race:

Birth Date: 07/25/1932

Death Date: 11/18/1969

Place of Birth: Tantah, Egypt

Year Medical License Issued: 1966

Medical School: Alexandria Univ. Medical School

Medical School Location: Egypt

Degree: MD

Graduation Date: 1956

References:

Certified by TX Board?: Y

Location: Dallas

Specialty:

Secondary Specialty:

Notes: