Professional details
NPI 1891586137 · Taxonomy 363LF0000X · Updated Oct 13, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1891586137 · Taxonomy 363LF0000X · Updated Oct 13, 2026
NPI 1689520660 · Taxonomy 363LF0000X · Updated Mar 16, 2026
NPI 1942739438 · Taxonomy 363LA2200X · Updated Oct 10, 2024
NPI 1174752281 · Taxonomy 363LF0000X · Updated Sep 30, 2024
NPI 1063363414 · Taxonomy 363LP2300X · Updated Jul 8, 2026
NPI 1962245878 · Taxonomy 363L00000X · Updated Feb 26, 2025
NPI 1154564938 · Taxonomy 207Q00000X · Updated May 25, 2016
NPI 1457664864 · Taxonomy 207R00000X · Updated Jul 21, 2023
NPI 1003500414 · Taxonomy 207R00000X · Updated Jun 29, 2026
NPI 1588127906 · Taxonomy 207R00000X · Updated Jul 23, 2024
NPI 1124265087 · Taxonomy 207Q00000X · Updated Jan 8, 2024
NPI 1316827520 · Taxonomy 363L00000X · Updated Sep 23, 2025