Gender: M

Race: C

Birth Date: 01/25/1936

Death Date: 03/31/1973

Place of Birth: San Diego, CA

Year Medical License Issued: 1961

Medical School: Baylor College of Medicine, Houston

Medical School Location: TX

Degree: MD

Graduation Date: 1961

References:

Certified by TX Board?: Y

Location:

Specialty: Psychiatry and Neurology

Secondary Specialty:

Notes: