Gender: M

Race: H

Birth Date: 05/21/1930

Death Date: 01/01/1971

Place of Birth: Cayagan de Oro City, Philippines

Year Medical License Issued:

Medical School: Univ. of Santo Tomas, Faculty of Medicine & Surger

Medical School Location: Philippines

Degree: MD

Graduation Date: 1958

References:

Certified by TX Board?: Y

Location: Dallas

Specialty:

Secondary Specialty:

Notes: