Gender: M

Race: C

Birth Date: 03/29/1920

Death Date: 02/25/1968

Place of Birth: Milburn, KY

Year Medical License Issued: 1956

Medical School: George Washington Univ., Washington

Medical School Location: DC

Degree: MD

Graduation Date: 1953

References:

Certified by TX Board?: Y

Location: Dallas

Specialty:

Secondary Specialty:

Notes: