Professional details
NPI 1841964368 · Taxonomy 363LF0000X · Updated May 11, 2026
These are reported specialties, not confirmation of primary-care availability.
NPI 1841964368 · Taxonomy 363LF0000X · Updated May 11, 2026
NPI 1922685189 · Taxonomy 363LF0000X · Updated Mar 25, 2021
NPI 1003508136 · Taxonomy 363LF0000X · Updated Dec 29, 2023
NPI 1700709201 · Taxonomy 363LF0000X · Updated Aug 1, 2026
NPI 1902173560 · Taxonomy 363LA2200X · Updated Jul 6, 2026
NPI 1669389813 · Taxonomy 363LF0000X · Updated Aug 25, 2026
NPI 1942853254 · Taxonomy 363LF0000X · Updated Sep 20, 2023
NPI 1386355972 · Taxonomy 363LF0000X · Updated Aug 29, 2023
NPI 1669994927 · Taxonomy 363LF0000X · Updated May 27, 2026
NPI 1568970465 · Taxonomy 363LF0000X · Updated Apr 17, 2024
NPI 1114341773 · Taxonomy 363LA2200X · Updated Aug 12, 2015
NPI 1821688409 · Taxonomy 363LF0000X · Updated Jan 19, 2023