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
05/02/25 12:52:54 PM

General Information

Former Name: No Former Name
Medical School: Keio Gijuku Daigaku Igakubu, 2002
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

No Specialty Reported

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.
Japan

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Keio Gijuku Daigaku Igakubu, 2002

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

No Specialty Reported

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.
Japan

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: Keio Gijuku Daigaku Igakubu, 2002

Registration History

DETAILS DATE
Expired: Terms and conditions imposed on certificate by Registration Committee Effective: 30 Jun 2017
Subsequent certificate of registration issued: Restricted Certificate Effective: 15 Sep 2014
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 15 Sep 2014
Expired: Terms and conditions of certificate of registration Effective: 15 Sep 2014
Transfer of class of registration to: Postgraduate Education Certificate Effective: 16 Sep 2011
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 05 Jul 2011
DETAILS: Expired: Terms and conditions imposed on certificate by Registration Committee
Date: Effective: 30 Jun 2017
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 15 Sep 2014
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 15 Sep 2014
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 15 Sep 2014
DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 16 Sep 2011
DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 05 Jul 2011