Gender: M

Race: C

Birth Date: 10/31/1921

Death Date: 12/26/1969

Place of Birth: LaCombe,

Year Medical License Issued: 1949

Medical School: Baylor College of Medicine, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1949

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: