Professional details
NPI 1770858144 · Taxonomy 363LF0000X · Updated Jan 8, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1770858144 · Taxonomy 363LF0000X · Updated Jan 8, 2026
NPI 1437687951 · Taxonomy 207Q00000X · Updated Jan 14, 2022
NPI 1992508600 · Taxonomy 207R00000X · Updated May 12, 2025
NPI 1114398591 · Taxonomy 363LF0000X · Updated Sep 22, 2026
NPI 1871989855 · Taxonomy 207R00000X · Updated Oct 6, 2025
NPI 1609423193 · Taxonomy 363LF0000X · Updated Jul 9, 2021
NPI 1154910099 · Taxonomy 207Q00000X · Updated Jun 24, 2025
NPI 1558771840 · Taxonomy 207R00000X · Updated Mar 30, 2023
NPI 1063043685 · Taxonomy 363LF0000X · Updated Feb 1, 2020
NPI 1275101875 · Taxonomy 363L00000X · Updated Sep 16, 2026
NPI 1326599184 · Taxonomy 363LA2200X · Updated Oct 17, 2016
NPI 1831450683 · Taxonomy 207Q00000X · Updated Apr 29, 2026