Gender: M

Race: C

Birth Date: 11/03/1904

Death Date: 07/24/1973

Place of Birth: Alexandria, IN

Year Medical License Issued: 1968

Medical School: Jefferson Medical College, Philadelphia

Medical School Location: PA

Degree: MD

Graduation Date: 1928

References:

Certified by TX Board?: Y

Location: Dallas

Specialty:

Secondary Specialty:

Notes: