Gender: M

Race: C

Birth Date: 01/08/1920

Death Date: 02/16/1964

Place of Birth: Colfax, WA

Year Medical License Issued: 1962

Medical School: Univ. Southern California Medical School, Los Ange

Medical School Location: CA

Degree: MD

Graduation Date: 1949

References:

Certified by TX Board?: Y

Location:

Specialty:

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