Professional details
NPI 1871080788 · Taxonomy 363L00000X · Updated Apr 23, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1871080788 · Taxonomy 363L00000X · Updated Apr 23, 2026
NPI 1508207507 · Taxonomy 207Q00000X · Updated Aug 4, 2023
NPI 1679268221 · Taxonomy 207Q00000X · Updated Aug 27, 2026
NPI 1427277136 · Taxonomy 207R00000X · Updated May 18, 2021
NPI 1487091575 · Taxonomy 207R00000X · Updated May 27, 2022
NPI 1053964916 · Taxonomy 207R00000X · Updated Feb 6, 2023
NPI 1730790452 · Taxonomy 207Q00000X · Updated Sep 5, 2023
NPI 1528550357 · Taxonomy 207R00000X · Updated Jul 29, 2024
NPI 1689137051 · Taxonomy 207R00000X · Updated Apr 11, 2019
NPI 1568268977 · Taxonomy 363LF0000X · Updated Feb 25, 2025
NPI 1932413812 · Taxonomy 207Q00000X · Updated Apr 1, 2021
NPI 1255751723 · Taxonomy 207Q00000X · Updated Jul 21, 2022