Gender: M

Race: C

Birth Date: 08/29/1919

Death Date: 06/28/1970

Place of Birth: Idaho Falls, ID

Year Medical License Issued: 1951

Medical School: Univ. Texas Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1951

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: