Gender: M

Race: C

Birth Date: 09/18/1928

Death Date: 06/06/1962

Place of Birth: Pittsburgh, PA

Year Medical License Issued: 1961

Medical School: Univ. Maryland School of Medicine

Medical School Location: MD

Degree: MD

Graduation Date: 1955

References:

Certified by TX Board?: Y

Location: Sweeny

Specialty:

Secondary Specialty:

Notes: