Professional details
NPI 1679203103 · Taxonomy 363LF0000X · Updated Jun 1, 2023
These are reported specialties, not confirmation of primary-care availability.
NPI 1679203103 · Taxonomy 363LF0000X · Updated Jun 1, 2023
NPI 1821344623 · Taxonomy 363L00000X · Updated Nov 3, 2023
NPI 1497829147 · Taxonomy 207Q00000X · Updated Apr 23, 2021
NPI 1780132290 · Taxonomy 363LF0000X · Updated Dec 13, 2023
NPI 1811334246 · Taxonomy 363LF0000X · Updated Apr 28, 2023
NPI 1174263909 · Taxonomy 207R00000X · Updated May 24, 2025
NPI 1275852188 · Taxonomy 207Q00000X · Updated Jul 17, 2019
NPI 1942141411 · Taxonomy 363LP2300X · Updated Apr 1, 2026
NPI 1245380120 · Taxonomy 207R00000X · Updated Jan 29, 2019
NPI 1235889031 · Taxonomy 207R00000X · Updated Sep 30, 2026
NPI 1770044372 · Taxonomy 207Q00000X · Updated Jan 10, 2025
NPI 1265053441 · Taxonomy 207R00000X · Updated Oct 23, 2025