Gender: M

Race:

Birth Date: 07/17/1901

Death Date: 01/16/1966

Place of Birth: Fort Wayne, IN

Year Medical License Issued: 1953

Medical School: Chicago College of Osteopathy

Medical School Location: IL

Degree: DO

Graduation Date: 1927

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: