Gender: M

Race: C

Birth Date: 08/28/1911

Death Date: 04/02/1966

Place of Birth: New York City, NY

Year Medical License Issued: 1956

Medical School: Long Island College of Medicine, Brooklyn

Medical School Location: NY

Degree: MD

Graduation Date: 1937

References:

Certified by TX Board?: Y

Location: Columbus

Specialty:

Secondary Specialty:

Notes: