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 | 174400000X | Specialist | | | | No |
| 2 | 207L00000X | Anesthesiology | | | | No |
| 3 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | No |
| 4 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 5 | 207RX0202X | Internal Medicine | Medical Oncology | | | No |
| 6 | 207ZP0101X | Pathology | Anatomic Pathology | | | No |
| 7 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | | | No |
| 8 | 208000000X | Pediatrics | | | | No |
| 9 | 2080P0202X | Pediatrics | Pediatric Cardiology | | | No |
| 10 | 363L00000X | Nurse Practitioner | | | | No |
| 11 | 363LN0000X | Nurse Practitioner | Neonatal | | | No |
| 12 | 363LN0005X | Nurse Practitioner | Neonatal, Critical Care | | | No |
| 13 | 367500000X | Nurse Anesthetist, Certified Registered | | | | No |
| 14 | 207R00000X | Internal Medicine | | | | Yes |