Gender: M

Race: C

Birth Date: 04/13/1943

Death Date: 09/13/1973

Place of Birth: Abilene, TX

Year Medical License Issued: 1970

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1969

References:

Certified by TX Board?: Y

Location: Austin

Specialty: Surgery

Secondary Specialty:

Notes: