Our Staff

More background on our key personnel

Dr. William S. Queale

Founder, CEO – MD, MS, MHS

Dr. Queale completed his Bachelor of Science degree in physical therapy from the University of Delaware.  He practiced orthopedic and sports physical therapy for three years while earning his Master of Science degree in exercise science also from the University of Delaware.  He went on to obtain his Doctorate of Medicine from Johns Hopkins University School of Medicine and complete his residency in internal medicine and his fellowship in general internal medicine also at Johns Hopkins.  During his fellowship, he obtained his Master of Health Science degree in clinical epidemiology from the Johns Hopkins University School of Public Health.  His research included clinical and economic outcomes after orthopedic surgery and the prevention of sports injuries.  He has been in clinical practice for over 20 years.  He is board certified in internal medicine and certified in functional medicine.  In addition to practicing clinical medicine, Dr. Queale has consulted to numerous organizations regarding the development of value-based healthcare models and quality improvement programs.  He is an Assistant Professor of Medicine at The Johns Hopkins School of Medicine where he has taught courses in office-based orthopedics and the role of the physician in society.  He has served on the School of Medicine Admissions Committee and currently serves on the Department of Medicine Quality Improvement Committee.

Tom Cira


Tom is CPA by trade and is the co-founder of Iron Horse Consulting Group and Iron Horse RR Investments.  Previously, Tom spent 36 years in the banking and financial services industry and, for the last 22 years, served in various executive positions for three bank-owned start-up equipment and specialty finance subsidiaries.  All three companies were recognized by the Monitor 100 as one of the Top 30 Bank Leasing Companies in the U.S. during his tenure.

 Tom was instrumental in growing SunTrust Leasing to $7.5 billion. For the last 11 years, Tom was the co-founder and President for Bridge Capital (BankUnited) and BciCapital (City National Bank of Florida) both $1.5 billion companies. Also, for the last three years Tom was the Bank’s EVP responsible for both the Orlando and Tampa Market Executives. 

 Since leaving the banking industry in May 2021, Tom has spent most of his time on raising equity and supporting startup businesses for Iron Horse Consulting Group and Iron Horse RR Investments. Tom is an accounting graduate from the University of Central Florida.

Mike Powers

General Counsel

Mike Powers is an attorney who co-founded Iron Horse Consulting Group (“IHCG”) with Tom Cira in 2020.  IHCG specializes in equity raises, supporting start up and early revenue companies as well as  mergers & acquisitions for its clients.  Prior to IHCG, Powers spent 25 years in the banking and financial services industries holding executive positions (Chief Operating Officer and General Counsel) in 4 de novo, bank-owned, equipment finance companies that included: Truist Bank, CapitalOne Bank, Bank United and, most recently, City National Bank of Florida.  Each company was a start-up, and each grew to multi-billions in asset size.

In addition, Powers spent nearly 15 years as a certified player-agent representing Major League Baseball players.  Over that span, he negotiated hundreds of millions of dollars in player contracts including arbitration cases and free agent contracts.

Powers brings a career of contract review and negotiations, entity and deal structuring, general counsel expertise and litigation background to Negentex.   He received his Bachelor of Arts Degree in Political Science from Loyola College (Baltimore) and his Juris Doctor Degree from the University Of Baltimore School Of Law.

Mike started his legal career in 1987 as an Associate litigation attorney at Frank, Bernstein, Conway & Goldman in Baltimore, MD.

Mike and his wife, Melissa moved to Orlando from Baltimore in July 2016.  He has 4 adult children and two grandchildren, residing in Baltimore, Denver and New York City.

Larry Dukes

VP Business Development

Larry is the founder of several successful entrepreneurial startups, providing subject matter and technical solutions in healthcare, finance, banking, and telecom. He has expertise in scoring models and predictive analytics measuring customer behavior and other business outcomes. Larry has authored an industry-specific book on financial analytics and authored a US patent for a risk scoring system.

Karen Queale

Director of Practice Administration

Karen received her Associate of Arts degree in business administration. After receiving her AA degree, she worked for 3 years as the executive assistant to the VP of operations of a local health insurance company. She subsequently worked for 3 years as the administrative assistant to the Director of Nursing at a local emergency department, then 2 years as the patient service coordinator in a local oncology practice. In 2004, she and Dr. Queale created Personal Healthcare Providers where she now serves as the Practice Manager. She and Dr. Queale have 4 children. They live on a farm in Northern Harford County.

Morgan Knox

Director of Marketing

Morgan brings experience in customer relations and project management to ensure the customer experience is outstanding. She has led critical client projects from design to integration as a leader at Red Dog Agency since 2019. Morgan is also expert in delivery systems featuring graphics and video.

Mark Ionescu

Director of IT

Mark has worked in IT systems management and UX development for almost 20 years. He has overseen projects in a wide array of industries, ranging from education to medical to hospitality and tourism environments 



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