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 | 208600000X | Surgery | | | | No |
| 2 | 2086S0129X | Surgery | Vascular Surgery | | | No |
| 3 | 207RT0003X | Internal Medicine | Transplant Hepatology | | | No |
| 4 | 207RR0500X | Internal Medicine | Rheumatology | | | No |
| 5 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 6 | 204F00000X | Transplant Surgery | | | | No |
| 7 | 2086X0206X | Surgery | Surgical Oncology | | | No |
| 8 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 9 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 10 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 11 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | | No |
| 12 | 207Y00000X | Otolaryngology | | | | No |
| 13 | 207RN0300X | Internal Medicine | Nephrology | | | No |
| 14 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 15 | 207R00000X | Internal Medicine | | | | Yes |