Gender: M

Race: C

Birth Date: 08/25/1921

Death Date: 07/17/1963

Place of Birth: St. Louis, MO

Year Medical License Issued: 1960

Medical School: Washington Univ. Medical School, St. Louis

Medical School Location: MO

Degree: MD

Graduation Date: 1951

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

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