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 | 207ZH0000X | Pathology | Hematology | MD041282 | DISTRICT OF COLUMBIA | No |
| 2 | 207ZH0000X | Pathology | Hematology | 84935 | SOUTH CAROLINA | No |
| 3 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | MD041282 | DISTRICT OF COLUMBIA | No |
| 4 | 207ZP0213X | Pathology | Pediatric Pathology | MD041282 | DISTRICT OF COLUMBIA | No |
| 5 | 207ZP0213X | Pathology | Pediatric Pathology | 84935 | SOUTH CAROLINA | No |
| 6 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | 84935 | SOUTH CAROLINA | Yes |