Professional details
NPI 1821507310 · Taxonomy 363LF0000X · Updated Jan 14, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1821507310 · Taxonomy 363LF0000X · Updated Jan 14, 2026
NPI 1174942130 · Taxonomy 207R00000X · Updated Nov 1, 2021
NPI 1679065098 · Taxonomy 363LP2300X · Updated May 20, 2025
NPI 1528564820 · Taxonomy 207R00000X · Updated Jun 22, 2021
NPI 1750775193 · Taxonomy 207Q00000X · Updated Nov 7, 2023
NPI 1902597859 · Taxonomy 363LF0000X · Updated Oct 1, 2024
NPI 1104250448 · Taxonomy 207Q00000X · Updated Aug 22, 2013
NPI 1275902595 · Taxonomy 363L00000X · Updated Aug 24, 2026
NPI 1841753936 · Taxonomy 207Q00000X · Updated Jun 19, 2025
NPI 1881291250 · Taxonomy 363L00000X · Updated Oct 7, 2020
NPI 1982840294 · Taxonomy 207Q00000X · Updated Nov 4, 2013
NPI 1700383007 · Taxonomy 363L00000X · Updated Aug 19, 2025