Professional details
NPI 1134862055 · Taxonomy 207R00000X · Updated May 7, 2025
These are reported specialties, not confirmation of primary-care availability.
NPI 1134862055 · Taxonomy 207R00000X · Updated May 7, 2025
NPI 1255713996 · Taxonomy 207Q00000X · Updated May 22, 2024
NPI 1285270785 · Taxonomy 363LF0000X · Updated Dec 4, 2019
NPI 1841724721 · Taxonomy 207R00000X · Updated Jan 4, 2024
NPI 1407947260 · Taxonomy 207R00000X · Updated Dec 7, 2020
NPI 1497331383 · Taxonomy 207R00000X · Updated Oct 8, 2024
NPI 1417582594 · Taxonomy 363LF0000X · Updated Mar 9, 2020
NPI 1851223309 · Taxonomy 363LF0000X · Updated Jun 1, 2026
NPI 1215259841 · Taxonomy 207Q00000X · Updated Jul 3, 2025
NPI 1538710827 · Taxonomy 363L00000X · Updated Dec 2, 2021
NPI 1386611259 · Taxonomy 207Q00000X · Updated Apr 7, 2011
NPI 1588055420 · Taxonomy 363L00000X · Updated Feb 24, 2017