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 | 207R00000X | Internal Medicine | | PT13971 | NORTH DAKOTA | No |
| 2 | 207R00000X | Internal Medicine | | 22916 | WEST VIRGINIA | No |
| 3 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 8311 | SOUTH DAKOTA | No |
| 4 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 13971 | NORTH DAKOTA | No |
| 5 | 390200000X | Student in an Organized Health Care Education/Training Program | | 0116023347 | VIRGINIA | No |
| 6 | 207RI0011X | Internal Medicine | Interventional Cardiology | 13971 | NORTH DAKOTA | Yes |