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 | 208800000X | Urology | | | | No |
| 2 | 207RX0202X | Internal Medicine | Medical Oncology | | | No |
| 3 | 2086S0127X | Surgery | Trauma Surgery | | | No |
| 4 | 207W00000X | Ophthalmology | | | | No |
| 5 | 207RR0500X | Internal Medicine | Rheumatology | | | No |
| 6 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 7 | 207RC0001X | Internal Medicine | Clinical Cardiac Electrophysiology | | | No |
| 8 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 9 | 207X00000X | Orthopaedic Surgery | | | | No |
| 10 | 208200000X | Plastic Surgery | | | | No |
| 11 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 12 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 13 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 14 | 207T00000X | Neurological Surgery | | | | No |
| 15 | 207Q00000X | Family Medicine | | | | Yes |