Gender: M

Race: C

Birth Date: 08/16/1931

Death Date: 08/10/1969

Place of Birth: El Paso, TX

Year Medical License Issued: 1962

Medical School: Baylor College of Medicine, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1962

References:

Certified by TX Board?: Y

Location:

Specialty: Internal Medicine

Secondary Specialty:

Notes: