Nah, the doc in your example kills by an accident. That's not an evil thing, it was not of his doing, and there was no malice aforethought.
The tyrant in your example who thinks they're doing good but is actually evil is an example of what I was saying - a LE tyrant who doesn't know what their alignment really is.
The tyrant in your example who thinks they're doing good but is actually evil is an example of what I was saying - a LE tyrant who doesn't know what their alignment really is.