Gender: M

Race: C

Birth Date: 03/15/1943

Death Date: 12/12/1970

Place of Birth: Los Angeles, CA

Year Medical License Issued: 1969

Medical School: Baylor College of Medicine, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1969

References: Jr.

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: