Gender: M

Race: C

Birth Date: 08/20/1928

Death Date: 03/29/1972

Place of Birth: Santa Barbara, CA

Year Medical License Issued: 1967

Medical School: Loma Linda Univ. Medical School

Medical School Location: CA

Degree: MD

Graduation Date: 1959

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

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