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Gender: M

Race: C

Birth Date: 1881

Death Date: 04/01/1969

Place of Birth: ,

Year Medical License Issued: 1908

Medical School: Cincinnati College of Medicine & Surgery

Medical School Location: OH

Degree: MD

Graduation Date:

References: Tx. License # 7176

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: