Gender: M

Race: B

Birth Date: 01/17/1934

Death Date: 09/05/1966

Place of Birth: Brenham, TX

Year Medical License Issued: 1965

Medical School: Meharry Medical College, Nashville

Medical School Location: TN

Degree: MD

Graduation Date: 1961

References:

Certified by TX Board?: Y

Location: Houston

Specialty:

Secondary Specialty:

Notes: