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 | 207L00000X | Anesthesiology | | | | No |
| 2 | 207N00000X | Dermatology | | | | No |
| 3 | 207ND0900X | Dermatology | Dermatopathology | | | No |
| 4 | 207P00000X | Emergency Medicine | | | | No |
| 5 | 207SG0201X | Medical Genetics | Clinical Genetics (M.D.) | | | No |
| 6 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 7 | 207W00000X | Ophthalmology | | | | No |
| 8 | 207X00000X | Orthopaedic Surgery | | | | No |
| 9 | 207Y00000X | Otolaryngology | | | | No |
| 10 | 207ZB0001X | Pathology | Blood Banking & Transfusion Medicine | | | No |
| 11 | 208000000X | Pediatrics | | | | No |
| 12 | 208200000X | Plastic Surgery | | | | No |
| 13 | 2085B0100X | Radiology | Body Imaging | | | No |
| 14 | 208600000X | Surgery | | | | No |
| 15 | 207R00000X | Internal Medicine | | | | Yes |