Gender: M

Race: C

Birth Date: 04/27/1945

Death Date: 07/25/1971

Place of Birth: Baytown, TX

Year Medical License Issued:

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1970

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: