0010-03377
Active
No
02/06/2012
06/14/2027
Active Supervisor
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
veterans administration
508 Fulton St
Durham, NC 27705
919-286-0411
Information
PA School
| School | Graduation |
| State University Of New York Stony Brook Physician Assistant Program | 2002 |
Area of Practice
| Area Of Practice | Primary |
| Abdominal Surgery | |
| Anesthesiology - Critical Care Medicine | |
| Anesthesiology, Critical Care | |
| Cardiovascular Surgery | |
| Critical Care Medicine | |
| Critical Care Surgery | |
| Family Practice/Sports Medicine | |
| Internal Medicine | |
| Pulmonary Disease and Critical Care, Internal Medicine | Yes |
| Surgery - Surgical Critical Care | |
| Surgical Critical Care | |
| Thoracic Cardiovascular Surgery | |
| Thoracic Surgery | |
| Trauma Surgery | |
Current Membership in Medical Professional Organizations
| Membership |
| Eastern Association for Surgery of Trauma |
| Society of Army Physician Assistants |
| Society of Critical Care Medicine |
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
| Date | Description | Link |
| None Reported |
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 |