Gender: M

Race: C

Birth Date: 06/19/1933

Death Date: 02/01/1963

Place of Birth: Houston, TX

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: