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
17/01/25 00:54:35 AM

General Information

Former Name: No Former Name
Medical School: University of Michigan, 2001
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
Critical Care Medicine
Effective: 20 Sep 2023
Royal College of Physicians and Surgeons of Canada
Pediatrics
Effective: 25 May 2017
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Critical Care Medicine
ISSUED ON: Effective: Sep 20 2023
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

SPECIALTY: Pediatrics
ISSUED ON: Effective: May 25 2017
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Appletree Medical Group
104-1902 Robertson Rd
Ottawa ON K2H 5B8
Date Received: 31 Jul 2017

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: No Information Available
Languages Spoken: ENGLISH
Medical School: University of Michigan, 2001

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
Critical Care Medicine
Effective: 20 Sep 2023
Royal College of Physicians and Surgeons of Canada
Pediatrics
Effective: 25 May 2017
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Critical Care Medicine
ISSUED ON: Effective: Sep 20 2023
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

SPECIALTY: Pediatrics
ISSUED ON: Effective: May 25 2017
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: Appletree Medical Group
104-1902 Robertson Rd
Ottawa ON K2H 5B8
Date Received: 31 Jul 2017

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: University of Michigan, 2001

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 31 Jul 2017
Expiry date removed from certificate of registration. Effective: 07 Dec 2012
Terms and conditions amended by Registration Committee. Effective: 06 Dec 2012
First certificate of registration issued: Restricted Certificate Effective: 05 Jul 2011
DETAILS: Expired: Resigned from membership.
Date: Effective: 31 Jul 2017

DETAILS: Expiry date removed from certificate of registration.
Date: Effective: 07 Dec 2012

DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 06 Dec 2012

DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 05 Jul 2011
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 05 Jul 2011