Dr. Esce has been a physician serving the greater Spartanburg area since 2002. He is an active member of the American Association of Neurosurgical Surgeons and the Congress of Neurosurgical Surgeons. Dr. Esce is board-certified through the American Board of Neurosurgical Surgeons.

He currently serves on the Neuro-oncology tumor board. He has served as past president of the South Carolina Spine Society.