The Long Game
In January 1975, aged 15, I read about the Altair 8800 in Popular Electronics. I couldn't afford one, so I built my own from discrete components cadged from physics teachers. That decision set the trajectory for everything that followed — fifty years of machines, code, medicine, and obsessive curiosity.
My software career ran through assembly → C → LISP → C++ → Python, with long detours through Fortran, Solidity, and a dozen domain-specific languages. EMACS has been my editor since 1976 and remains so today. I'm not nostalgic — it's simply the best tool for the job and always has been.
AI Engineering
I've trained more than 600 AI practitioners — from medical doctors to high school graduates — to build and deploy real machine learning systems. I founded CyberCollege, the first online college in Africa, long before the word MOOC existed, where we pioneered the flipped classroom, speed reading, and spaced memory techniques.
Today my focus is on the frontier: large language models, agentic architectures, and the intersection of AI with medicine. I run Claude in fully autonomous YOLO mode daily. I've seen ten distinct levels of AI-driven development emerge in the last three years — from vibe coding through fully agentic systems that compile, debug, and deploy without human intervention. I live at level 8 and am pushing toward 10.
Medical AI
As a physician and data scientist, I apply ML/DL to medical diagnostics, clinical NLP, and health-system process engineering. The combination of clinical domain knowledge and deep technical capability is rare and, I believe, enormously valuable. AI that doesn't understand biology will miss what matters.
Beyond the Code
I'm a HAM radio operator (NE4AL / 5Z4NA), sport pilot, Land Rover Defender obsessive, and modular synthesizer builder. I maintain a small robotics lab complete with 3D printers and CNC machines, and I'm in the process of converting a 300Tdi Defender to full battery EV. My wife Ami and I keep bees, build things from wood and rebar, and manage an environmental conservation project at Nyari Lake in Kenya.
The common thread across all of it: systems thinking, first principles, and a refusal to accept "it can't be done" as an answer.
Work With Me
I don't do contracts. I do partnerships. I engage as a collaborator with shared stakes — similar to an angel investor model but with technical execution rather than just capital. If you have a hard problem at the intersection of AI, medicine, data, or engineering, talk to me.
Get In Touch
Direct line: dr.neal.aggarwal@gmail.com · or use the form below.