Gender: M

Race: C

Birth Date: 11/09/1934

Death Date: 08/08/1962

Place of Birth: San Angelo, TX

Year Medical License Issued: 1958

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1958

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: