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 | 207RS0012X | Internal Medicine | Sleep Medicine | | | No |
| 2 | 207P00000X | Emergency Medicine | | | | No |
| 3 | 207Q00000X | Family Medicine | | | | No |
| 4 | 207X00000X | Orthopaedic Surgery | | | | No |
| 5 | 207Y00000X | Otolaryngology | | | | No |
| 6 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | | | No |
| 7 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 8 | 208600000X | Surgery | | | | No |
| 9 | 208M00000X | Hospitalist | | | | No |
| 10 | 207R00000X | Internal Medicine | | | | Yes |