Professional details
NPI 1720916430 · Taxonomy 207R00000X · Updated May 12, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1720916430 · Taxonomy 207R00000X · Updated May 12, 2026
NPI 1750080834 · Taxonomy 363LF0000X · Updated Feb 28, 2023
NPI 1922202621 · Taxonomy 363LF0000X · Updated Nov 26, 2018
NPI 1720669120 · Taxonomy 207Q00000X · Updated Nov 21, 2024
NPI 1366317448 · Taxonomy 363L00000X · Updated Oct 8, 2025
NPI 1154202802 · Taxonomy 363LF0000X · Updated Oct 24, 2025
NPI 1073148110 · Taxonomy 207Q00000X · Updated Aug 7, 2024
NPI 1033191184 · Taxonomy 207Q00000X · Updated Mar 19, 2013
NPI 1205681236 · Taxonomy 363L00000X · Updated Apr 22, 2024
NPI 1831408871 · Taxonomy 207R00000X · Updated Apr 15, 2021
NPI 1790457349 · Taxonomy 363LF0000X · Updated Dec 8, 2022
NPI 1942874797 · Taxonomy 207Q00000X · Updated May 28, 2024