THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
04/07/26 12:10:25 PM

General Information

Former Name: No Former Name
Medical School: Northern State Medical University, 1986
Gender: Man
Languages Spoken: ENGLISH, RUSSIAN

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Otolaryngology - Head and Neck Surgery
Effective: 30 Jun 2006
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Otolaryngology - Head and Neck Surgery
ISSUED ON: Effective: Jun 30 2006
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Licences In Other Jurisdictions

Canada - British Columbia

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, RUSSIAN
Medical School: Northern State Medical University, 1986

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Otolaryngology - Head and Neck Surgery
Effective: 30 Jun 2006
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Otolaryngology - Head and Neck Surgery
ISSUED ON: Effective: Jun 30 2006
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Licences In Other Jurisdictions

Canada - British Columbia

Hospital Privileges

No information available

Practice Conditions

This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.
This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Northern State Medical University, 1986

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 02 Aug 2016
First certificate of registration issued: Independent Practice Certificate Effective: 18 Oct 2013
DETAILS: Expired: Resigned from membership.
Date: Effective: 02 Aug 2016
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 18 Oct 2013