Gender: M

Race: C

Birth Date: 08/16/1888

Death Date: 12/01/1969

Place of Birth: Canton, SD

Year Medical License Issued: 1957

Medical School: Northwestern Univ. Medical School, Chicago

Medical School Location: IL

Degree: MD

Graduation Date: 1928

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: