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 | 207LC0200X | Anesthesiology | Critical Care Medicine | A200253 | CALIFORNIA | No |
| 2 | 207LC0200X | Anesthesiology | Critical Care Medicine | MD2025-0502 | NEW MEXICO | No |
| 3 | 207LC0200X | Anesthesiology | Critical Care Medicine | MD-51383 | IOWA | No |
| 4 | 207P00000X | Emergency Medicine | | MD2025-0502 | NEW MEXICO | No |
| 5 | 207P00000X | Emergency Medicine | | 431144859331 | MICHIGAN | No |
| 6 | 207P00000X | Emergency Medicine | | A200253 | CALIFORNIA | No |
| 7 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 8 | 207LC0200X | Anesthesiology | Critical Care Medicine | 76781 | ARIZONA | Yes |