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
10/05/25 03:22:56 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 1964
Gender: Man
Languages Spoken: ENGLISH

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
Internal Medicine
Effective: 01 Jan 1969
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jan 01 1969
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: DOCUdavit Solutions
Phone# 1-888-781-9083
Date Received: 08 Jan 2021
Instructions/Address: Docudavit Solutions 1-888-781-9083
Date Received: 06 Jan 2021

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 1964

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
Internal Medicine
Effective: 01 Jan 1969
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jan 01 1969
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: DOCUdavit Solutions
Phone# 1-888-781-9083
Date Received: 08 Jan 2021
Instructions/Address: Docudavit Solutions 1-888-781-9083
Date Received: 06 Jan 2021

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: Schulich School of Medicine and Dentistry, Western University, 1964

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 09 Jul 2021
Transfer of class of registration to: Independent Practice Certificate Effective: 18 Sep 1967
First certificate of registration issued: Postgraduate Education Certificate Effective: 21 Jul 1967
DETAILS: Expired: Resigned from membership.
Date: Effective: 09 Jul 2021
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 18 Sep 1967
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 21 Jul 1967