Gender: M

Race: C

Birth Date: 12/06/1920

Death Date: 10/19/1972

Place of Birth: Defiance, OH

Year Medical License Issued: 1970

Medical School: St. Louis Univ. School of Medicine

Medical School Location: MO

Degree: MD

Graduation Date: 1944

References:

Certified by TX Board?: Y

Location:

Specialty: Preventive Medicine

Secondary Specialty:

Notes: