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 | 207L00000X | Anesthesiology | | | | Yes |
| 2 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 3 | 207P00000X | Emergency Medicine | | | | No |
| 4 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 5 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 6 | 207RR0500X | Internal Medicine | Rheumatology | | | No |
| 7 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 8 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | | | No |
| 9 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 10 | 207XX0801X | Orthopaedic Surgery | Orthopaedic Trauma | | | No |
| 11 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 12 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 13 | 2085B0100X | Radiology | Body Imaging | | | No |
| 14 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 15 | 2085U0001X | Radiology | Diagnostic Ultrasound | | | No |