Gender: M

Race: C

Birth Date: 09/03/1880

Death Date: 03/08/1965

Place of Birth: Baltic, OHRussia

Year Medical License Issued: 1947

Medical School: National Medical Univ., Ukraine

Medical School Location: Russia

Degree: MD

Graduation Date: 1906

References:

Certified by TX Board?: Y

Location: San Antonio

Specialty:

Secondary Specialty:

Notes: