Gender: M

Race: C

Birth Date: 01/14/1942

Death Date: 07/01/1971

Place of Birth: Lubbock, TX

Year Medical License Issued: 1968

Medical School: Univ. TX Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1968

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: