Gender: M

Race: C

Birth Date: 06/12/1930

Death Date: 07/14/1964

Place of Birth: Des Moines, IA

Year Medical License Issued: 1956

Medical School: Creighton Univ. Medical School, Omaha

Medical School Location: NE

Degree: MD

Graduation Date: 1955

References:

Certified by TX Board?: Y

Location:

Specialty:

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