Gender: M

Race: C

Birth Date: 01/30/1929

Death Date: 01/15/1962

Place of Birth: Enid, Garfield Co., OK

Year Medical License Issued: 1958

Medical School: Univ. TX Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1958

References:

Certified by TX Board?: Y

Location: Miami

Specialty:

Secondary Specialty:

Notes: