Professional details
NPI 1134855885 · Taxonomy 363LF0000X · Updated May 1, 2024
These are reported specialties, not confirmation of primary-care availability.
NPI 1134855885 · Taxonomy 363LF0000X · Updated May 1, 2024
NPI 1669962635 · Taxonomy 363L00000X · Updated Feb 12, 2025
NPI 1780258848 · Taxonomy 363LF0000X · Updated May 26, 2026
NPI 1083085260 · Taxonomy 363L00000X · Updated Aug 1, 2022
NPI 1184450942 · Taxonomy 363LF0000X · Updated Jul 3, 2025
NPI 1740743830 · Taxonomy 363LF0000X · Updated Apr 7, 2019
NPI 1205773025 · Taxonomy 363LF0000X · Updated Apr 30, 2026
NPI 1215491295 · Taxonomy 363LF0000X · Updated Nov 20, 2020
NPI 1427790021 · Taxonomy 363L00000X · Updated Apr 13, 2022
NPI 1629774765 · Taxonomy 363LF0000X · Updated Jan 31, 2023
NPI 1801131859 · Taxonomy 363LA2200X · Updated Oct 26, 2023
NPI 1871245084 · Taxonomy 363LF0000X · Updated Jan 19, 2022