Gender: M

Race: C

Birth Date: 02/17/1925

Death Date: 02/27/1966

Place of Birth: San Angelo, TX

Year Medical License Issued: 1954

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1954

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: