Gender: M

Race: C

Birth Date: 03/31/1892

Death Date: 09/20/1964

Place of Birth: Atlanta, GA

Year Medical License Issued: 1921

Medical School: Univ. Pennsylvania Medical School, Philadelphia

Medical School Location: PA

Degree: MD

Graduation Date: 1919

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: