Gender: M

Race: C

Birth Date: 05/21/1925

Death Date: 11/05/1970

Place of Birth: Atlanta, GA

Year Medical License Issued: 1957

Medical School: Univ. TX Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1957

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: