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 | | | | Yes |
| 2 | 207LC0200X | Anesthesiology | Critical Care Medicine | | | No |
| 3 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 4 | 207P00000X | Emergency Medicine | | | | No |
| 5 | 207Q00000X | Family Medicine | | | | No |
| 6 | 207R00000X | Internal Medicine | | | | No |
| 7 | 207RC0200X | Internal Medicine | Critical Care Medicine | | | No |
| 8 | 207RH0002X | Internal Medicine | Hospice and Palliative Medicine | | | No |
| 9 | 2083C0008X | Preventive Medicine | Clinical Informatics | | | No |
| 10 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | | No |