Gender: M

Race: C

Birth Date: 01/06/1929

Death Date: 01/01/1957

Place of Birth: Dallas, TX

Year Medical License Issued: 1954

Medical School: Univ. Texas Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1954

References:

Certified by TX Board?: Y

Location: Dallas

Specialty:

Secondary Specialty:

Notes: