Gender: M

Race: C

Birth Date: 04/06/1928

Death Date: 03/16/1971

Place of Birth: Chicago, IL

Year Medical License Issued: 1956

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1956

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: