Gender: M

Race:

Birth Date: 10/28/1910

Death Date: 12/08/1966

Place of Birth: Padul,

Year Medical License Issued: 1957

Medical School: Columbia Univ., College of Physicians & Surgeons

Medical School Location: NY

Degree: MD

Graduation Date: 1935

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: