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 | 2080P0208X | Pediatrics | Pediatric Infectious Diseases | | | No |
| 2 | 2080P0202X | Pediatrics | Pediatric Cardiology | | | No |
| 3 | 2080P0203X | Pediatrics | Pediatric Critical Care Medicine | | | No |
| 4 | 2080P0207X | Pediatrics | Pediatric Hematology-Oncology | | | No |
| 5 | 2080P0214X | Pediatrics | Pediatric Pulmonology | | | No |
| 6 | 2080P0206X | Pediatrics | Pediatric Gastroenterology | | | Yes |