Gender: M

Race: C

Birth Date: 01/08/1935

Death Date: 1970

Place of Birth: Dallas, TX

Year Medical License Issued: 1960

Medical School: Baylor College of Medicine, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1960

References: Houston, TX 1960; California 1964

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: