Professional details
NPI 1922786987 · Taxonomy 363LF0000X · Updated Jul 10, 2023
These are reported specialties, not confirmation of primary-care availability.
NPI 1922786987 · Taxonomy 363LF0000X · Updated Jul 10, 2023
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NPI 1730047309 · Taxonomy 363LF0000X · Updated Feb 2, 2026
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