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
09/05/25 07:28:37 AM

General Information

Former Name: No Former Name
Medical School: Univ of Texas Southwestern Med School, 2002
Gender: Man
Languages Spoken: ENGLISH, FRENCH

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
Emergency Medicine
Effective: 30 Jun 2007
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Jun 30 2007
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address:
151 First Avenue
#62
New York, NY
10003 USA
Date Received: 14 Apr 2016

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - New York

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, FRENCH
Medical School: Univ of Texas Southwestern Med School, 2002

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
Emergency Medicine
Effective: 30 Jun 2007
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Jun 30 2007
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address:
151 First Avenue
#62
New York, NY
10003 USA
Date Received: 14 Apr 2016

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
USA - New York

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: Univ of Texas Southwestern Med School, 2002

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2016
First certificate of registration issued: Independent Practice Certificate Effective: 21 May 2009
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2016
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 21 May 2009