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
04/08/25 05:51:30 AM

General Information

Former Name: No Former Name
Medical School: Dalhousie University Faculty of Medicine, 2010
Gender: No Information Available
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
General Internal Medicine
Effective: 21 Sep 2015
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 30 Jun 2014
Royal College of Physicians and Surgeons of Canada
SPECIALTY: General Internal Medicine
ISSUED ON: Effective: Sep 21 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2014
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Queen's University
Palliative Care Program
34 Barrie St
Kingston, ON K7L 3J7
Date Received: 16 May 2018

Medical Licences In Other Jurisdictions

Canada - Northwest Territories

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: No Information Available
Languages Spoken: ENGLISH
Medical School: Dalhousie University Faculty of Medicine, 2010

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
General Internal Medicine
Effective: 21 Sep 2015
Royal College of Physicians and Surgeons of Canada
Internal Medicine
Effective: 30 Jun 2014
Royal College of Physicians and Surgeons of Canada
SPECIALTY: General Internal Medicine
ISSUED ON: Effective: Sep 21 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Jun 30 2014
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Queen's University
Palliative Care Program
34 Barrie St
Kingston, ON K7L 3J7
Date Received: 16 May 2018

Medical Licences In Other Jurisdictions

Canada - Northwest Territories

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: Dalhousie University Faculty of Medicine, 2010

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2018
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 30 Sep 2016
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 2013
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2010
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2018
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 30 Sep 2016
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 2013
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2010