Professional details
NPI 1982495685 · Taxonomy 207Q00000X · Updated May 14, 2025
These are reported specialties, not confirmation of primary-care availability.
NPI 1982495685 · Taxonomy 207Q00000X · Updated May 14, 2025
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NPI 1790011591 · Taxonomy 363LF0000X · Updated Jul 29, 2022
NPI 1679738561 · Taxonomy 207R00000X · Updated Sep 12, 2018
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NPI 1679150171 · Taxonomy 207Q00000X · Updated Oct 15, 2024
NPI 1538662457 · Taxonomy 363LF0000X · Updated Mar 16, 2018
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