Gender: M

Race: C

Birth Date: 12/14/1942

Death Date:

Place of Birth: Houston, TX

Year Medical License Issued: 1969

Medical School: University of Texas Southwestern Medical School, D

Medical School Location: TX

Degree: MD

Graduation Date: 1969

References:

File and photograph are water-damaged.

Certified by TX Board?: Y

Location: Dallas

Specialty:

Secondary Specialty:

Notes: