Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207RI0008X | Internal Medicine | Hepatology | | | No |
| 2 | 207SG0201X | Medical Genetics | Clinical Genetics (M.D.) | | | No |
| 3 | 207T00000X | Neurological Surgery | | | | No |
| 4 | 208200000X | Plastic Surgery | | | | No |
| 5 | 208600000X | Surgery | | | | No |
| 6 | 2086S0129X | Surgery | Vascular Surgery | | | No |
| 7 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 8 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 9 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | No |
| 10 | 208800000X | Urology | | | | No |
| 11 | 208C00000X | Colon & Rectal Surgery | | | | No |
| 12 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | | No |
| 13 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 14 | 363LW0102X | Nurse Practitioner | Women's Health | | | No |
| 15 | 207R00000X | Internal Medicine | | | | Yes |