Gender: M

Race: C

Birth Date: 03/06/1914

Death Date: 11/19/1967

Place of Birth: Peabody, KS

Year Medical License Issued: 1949

Medical School: Kansas City College of Osteopathy & Surgery

Medical School Location: KS

Degree: DO

Graduation Date: 1940

References:

Certified by TX Board?: Y

Location: Fort Worth

Specialty: Otolaryngology

Secondary Specialty:

Notes: