Professional details
NPI 1720719818 · Taxonomy 363LP2300X · Updated Apr 21, 2023
These are reported specialties, not confirmation of primary-care availability.
NPI 1720719818 · Taxonomy 363LP2300X · Updated Apr 21, 2023
NPI 1831749159 · Taxonomy 363LF0000X · Updated Sep 18, 2019
NPI 1932673407 · Taxonomy 363L00000X · Updated Feb 24, 2021
NPI 1033500517 · Taxonomy 363L00000X · Updated Oct 17, 2023
NPI 1457021156 · Taxonomy 363LF0000X · Updated Nov 16, 2021
NPI 1316564115 · Taxonomy 363LF0000X · Updated Dec 22, 2025
NPI 1881438372 · Taxonomy 363LF0000X · Updated Nov 11, 2024
NPI 1154165678 · Taxonomy 363LF0000X · Updated Jun 20, 2024
NPI 1598375255 · Taxonomy 363L00000X · Updated Sep 9, 2024
NPI 1053726901 · Taxonomy 207R00000X · Updated Jun 29, 2014
NPI 1023926938 · Taxonomy 363LF0000X · Updated Sep 4, 2026
NPI 1053000182 · Taxonomy 363LF0000X · Updated May 11, 2026