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
06/05/26 15:01:34 PM

General Information

Former Name: No Former Name
Medical School: Baylor College of Medicine, 1976
Gender: Man
Languages Spoken: ENGLISH, FRENCH, SPANISH

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
Pediatric Cardiology
Effective: 03 Dec 1981
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Pediatric Cardiology
ISSUED ON: Effective: Dec 03 1981
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Northwest Childrens Heart Care
Suite 860
1229 Madison Street
Seattle WA 98104
USA
Date Received: 19 May 2017

Medical Licences In Other Jurisdictions

USA - Washington

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, FRENCH, SPANISH
Medical School: Baylor College of Medicine, 1976

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
Pediatric Cardiology
Effective: 03 Dec 1981
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Pediatric Cardiology
ISSUED ON: Effective: Dec 03 1981
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Northwest Childrens Heart Care
Suite 860
1229 Madison Street
Seattle WA 98104
USA
Date Received: 19 May 2017

Medical Licences In Other Jurisdictions

USA - Washington

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: Baylor College of Medicine, 1976

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jul 2017
First certificate of registration issued: Independent Practice Certificate Effective: 03 Jul 1981
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jul 2017
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 03 Jul 1981