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 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 31515 | DISTRICT OF COLUMBIA | No |
| 2 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 01010 59366 | VIRGINIA | Yes |