Gender: M

Race: C

Birth Date: 07/08/1932

Death Date: 09/28/1966

Place of Birth: Clovis, NM

Year Medical License Issued: 1957

Medical School: Baylor College of Medicine, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1957

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: