Gender: M

Race:

Birth Date: 10/05/1934

Death Date: 06/17/1966

Place of Birth: New York City, NY

Year Medical License Issued: 1960

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1960

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: