Gender: M

Race:

Birth Date: 06/21/1935

Death Date: 04/22/1970

Place of Birth: Dallas, TX

Year Medical License Issued: 1969

Medical School: Johns Hopkins Univ. Medical School, Baltimore

Medical School Location: MD

Degree: MD

Graduation Date: 1961

References: Jr.

Certified by TX Board?: Y

Location: Austin

Specialty:

Secondary Specialty:

Notes: