Gender: M

Race: C

Birth Date: 01/23/1937

Death Date: 11/01/1965

Place of Birth: Kirbyville, TX

Year Medical License Issued: 1962

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1962

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: