39460
Active
Yes
08/04/1990
06/29/2027
See: Actions-Adverse & Administrative Tab
Active Supervisees
| Name | Type | Status | Approved | Inactive |
| None Reported |
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
| State |
| New York |
| Pennsylvania |
Out of Country Active/Inactive Licenses
Address
Statesville, NC
Information
10 locations throughout NC Mon-Fri
I treat people with developmental disabilities.
Yes
Yes
Yes
Yes
No
Medical School
| School | Graduation |
| Med Acad Cracow-Poland | 1986 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| St Vincent's Medical Center | Other - Chief Resident |
NY, US
| Residency | 1990 |
| St Vincent's Medical Center | Other - Ambulatory Care |
NY, US
| Internship | 1987 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Addiction Medicine | 2017 |
| Internal Medicine | 1989 |
Area of Practice
| Area Of Practice | Primary |
| Addictionology or Addiction Medicine | Yes |
| Internal Medicine | |
Current Membership in Medical Professional Organizations
| Membership |
| American Medical Association |
| Iredell County Medical Society |
| North Carolina Medical Society |
Honors & Awards
| Honor/Award | Given By | Date |
| Fellowship in Medical Treatment of People with Dev | ANEC North Carolina | 2007 |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
This section indicates whether the North Carolina Medical Board has taken adverse public action regarding the
licensee. Click on the link or links below to see an electronic copy of public documents associated with the
licensee.
Certain public documents, such as hearing transcripts, are listed but are not posted on the site. If the record
indicates a transcript is available, it may be obtained by contacting the Board.
NCMB public actions are posted on this site indefinitely.
| Date | Description | Link |
|
06/15/2024
| Relief of Consent Order Obligations |
View
|
|
05/26/2020
| Consent Order |
View
|
Other Regulatory Board or Agency Public Actions
This section indicates whether a regulatory authority other than NCMB has taken public action against the
licensee. Out-of-state medical board actions are posted on this website indefinitely. Actions by regulatory
agencies such as Medicare, Medicaid, the U.S. Drug Enforcement Administration, the U.S. Food and Drug Administration,
etc., are posted for a period of seven years, from the date of the action.
| Date | Name of Board/Agency | Action Taken | Link |
|
05/12/2021
| New York State Office of Professional Medical Conduct | Medical license placed on inactive status based on action taken by North Carolina Medical Board |
View
|
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |