Gender: M

Race: C

Birth Date: 12/01/1932

Death Date: 04/19/1963

Place of Birth: New York City, NY

Year Medical License Issued: 1962

Medical School: New York Medical College

Medical School Location: NY

Degree: MD

Graduation Date: 1958

References:

Certified by TX Board?: Y

Location: Midland

Specialty:

Secondary Specialty:

Notes: