Gender: M

Race: C

Birth Date: 02/06/1936

Death Date: 07/22/1964

Place of Birth: Milton, LA

Year Medical License Issued: 1962

Medical School: Louisiana State Univ. School of Medicine, New Orle

Medical School Location: LA

Degree: MD

Graduation Date: 1960

References:

Certified by TX Board?: Y

Location: Houston

Specialty:

Secondary Specialty:

Notes: