| birth_date = <!-- {{Birth date and age|YYYY|MM|DD}} 或 {{Birth year and age|YYYY}} [[WP:DOB]]. {{Birth date|YYYY|MM|DD}}. -->
| birth_place =
| death_date = <!-- {{death_date_and_age|19161925|19|730|19081867|45|109|mf=y}} -->
| death_place =
| nationality =