Gender: M

Race: C

Birth Date: 02/10/1943

Death Date: 05/10/1970

Place of Birth: Portales, NM

Year Medical License Issued: 1967

Medical School: Baylor College of Medicine, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1967

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: