40006
Active
Yes
07/22/2004
02/28/2027
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
Out of Country Active/Inactive Licenses
Address
Charlotte, NC
Information
Medical School
| School | Graduation |
| Nc Baptist | 1991 |
| University of Miami School of Medicine | 1987 |
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 |
| Bowman Gray School of Medicine of Wake Forrest University | Anesthesiology Pain Management |
NC, US
| Fellowship | 1994 |
| Bowman Gray School of Medicine of Wake Forrest University | Neurology |
NC, US
| Residency | 1993 |
| Bowman Gray School of Medicine of Wake Forest University | Psychiatry |
NC, US
| Internship | 1990 |
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 |
| None Reported |
Area of Practice
| Area Of Practice | Primary |
| Neurology | Yes |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
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 |
|
04/04/2025
| Partial Relief of Consent Order Obligations |
View
|
|
06/13/2023
| Non-Disciplinary Consent Order |
View
|
|
03/02/2010
| Consent Order |
View
|
|
06/05/2009
| Voluntary Surrender Acknowledgement |
View
|
|
06/04/2009
| Voluntary Surrender of License |
View
|
|
08/16/2004
| Relief of Consent Order Obligations |
View
|
|
07/22/2004
| Full and Unrestricted License |
View
|
|
06/23/2004
| Amendment to Consent Order |
View
|
|
05/20/2004
| Temporary Medical License |
View
|
|
02/19/2004
| Temporary Medical License |
View
|
|
10/16/2003
| Temporary Medical License |
View
|
|
07/30/2003
| Temporary Medical License |
View
|
|
07/25/2003
| Consent Order |
View
|
|
08/10/1999
| Voluntary Surrender of License |
View
|
|
08/10/1999
| Voluntary Surrender Acknowledgement |
View
|
|
07/23/1999
| Temporary Medical License |
View
|
|
07/12/1999
| Temporary Medical License |
View
|
|
06/07/1999
| Consent Order |
View
|
|
09/19/1998
| Temporary Medical License |
View
|
|
09/18/1998
| Consent Order |
View
|
|
03/20/1998
| Temporary Medical License |
View
|
|
09/20/1997
| Temporary Medical License |
View
|
|
05/24/1997
| Temporary Medical License |
View
|
|
03/21/1997
| Temporary Medical License |
View
|
|
01/24/1997
| Temporary Medical License |
View
|
|
12/06/1996
| Consent Order |
View
|
|
12/06/1996
| Temporary Medical License |
View
|
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
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 |