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Gender: M

Race: C

Birth Date: 09/29/1934

Death Date: 05/10/1973

Place of Birth: Houston, TX

Year Medical License Issued: 1965

Medical School: Stanford Univ. Medical School, San Francisco

Medical School Location: CA

Degree: MD

Graduation Date: 1961

References:

Certified by TX Board?: Y

Location: Houston

Specialty:

Secondary Specialty:

Notes: