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 | 207Q00000X | Family Medicine | | | | No |
| 2 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 3 | 207RC0200X | Internal Medicine | Critical Care Medicine | | | No |
| 4 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 5 | 207RG0300X | Internal Medicine | Geriatric Medicine | | | No |
| 6 | 207RH0002X | Internal Medicine | Hospice and Palliative Medicine | | | No |
| 7 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 8 | 207RX0202X | Internal Medicine | Medical Oncology | | | No |
| 9 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 10 | 207RS0010X | Internal Medicine | Sports Medicine | | | No |
| 11 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 12 | 208VP0000X | Pain Medicine | Pain Medicine | | | No |
| 13 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 14 | 1041C0700X | Social Worker | Clinical | | | No |
| 15 | 208D00000X | General Practice | | | | Yes |