Gender: M

Race: C

Birth Date: 06/11/1916

Death Date: 12/04/1968

Place of Birth: Masterton,

Year Medical License Issued: 1960

Medical School: Kirksville College of Osteopathy & Surgery

Medical School Location: MO

Degree: DO

Graduation Date: 1940

References:

Certified by TX Board?: Y

Location: San Antonio

Specialty:

Secondary Specialty:

Notes: