Professional details
NPI 1699303735 · Taxonomy 363LF0000X · Updated Apr 16, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1699303735 · Taxonomy 363LF0000X · Updated Apr 16, 2026
NPI 1265329742 · Taxonomy 363L00000X · Updated Aug 4, 2025
NPI 1417123787 · Taxonomy 207Q00000X · Updated Apr 7, 2022
NPI 1811480502 · Taxonomy 363LF0000X · Updated Jun 7, 2018
NPI 1669556361 · Taxonomy 207Q00000X · Updated Jan 14, 2009
NPI 1407631104 · Taxonomy 363L00000X · Updated Aug 30, 2023
NPI 1578392783 · Taxonomy 363LF0000X · Updated Jul 1, 2026
NPI 1609589233 · Taxonomy 363L00000X · Updated Mar 29, 2023
NPI 1194292813 · Taxonomy 363L00000X · Updated Aug 8, 2023
NPI 1720515257 · Taxonomy 363LF0000X · Updated Nov 22, 2024
NPI 1760571624 · Taxonomy 207R00000X · Updated May 1, 2019
NPI 1568711927 · Taxonomy 363LF0000X · Updated Apr 24, 2014