Professional details
NPI 1871430918 · Taxonomy 207R00000X · Updated Apr 30, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1871430918 · Taxonomy 207R00000X · Updated Apr 30, 2026
NPI 1457768939 · Taxonomy 207Q00000X · Updated Oct 8, 2018
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NPI 1538558242 · Taxonomy 363LF0000X · Updated Dec 8, 2025
NPI 1134747454 · Taxonomy 363LF0000X · Updated May 21, 2021
NPI 1356828032 · Taxonomy 363L00000X · Updated Sep 16, 2019
NPI 1215327473 · Taxonomy 363LA2200X · Updated Feb 17, 2025
NPI 1972493609 · Taxonomy 363LA2200X · Updated Sep 1, 2026
NPI 1447512595 · Taxonomy 207R00000X · Updated Jul 17, 2018
NPI 1083552871 · Taxonomy 207R00000X · Updated Jul 21, 2026
NPI 1508444290 · Taxonomy 363LF0000X · Updated Apr 1, 2021
NPI 1740372648 · Taxonomy 207R00000X · Updated Oct 17, 2025