Gender: M

Race: C

Birth Date: 1900

Death Date: 03/07/1964

Place of Birth: Corea?, GA

Year Medical License Issued: 1925

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree: MD

Graduation Date: 1925

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: