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 | 207PE0005X | Emergency Medicine | Undersea and Hyperbaric Medicine | | | No |
| 2 | 207Q00000X | Family Medicine | | | | No |
| 3 | 207QG0300X | Family Medicine | Geriatric Medicine | | | No |
| 4 | 207R00000X | Internal Medicine | | | | No |
| 5 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 6 | 207RC0001X | Internal Medicine | Clinical Cardiac Electrophysiology | | | No |
| 7 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 8 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 9 | 207RI0011X | Internal Medicine | Interventional Cardiology | | | No |
| 10 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 11 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | | | No |
| 12 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 13 | 207VX0000X | Obstetrics & Gynecology | Obstetrics | | | No |
| 14 | 208D00000X | General Practice | | | | Yes |