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 | 207X00000X | Orthopaedic Surgery | | | | No |
| 2 | 204E00000X | Oral & Maxillofacial Surgery | | | | No |
| 3 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 4 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 5 | 207W00000X | Ophthalmology | | | | No |
| 6 | 207Y00000X | Otolaryngology | | | | No |
| 7 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 8 | 208600000X | Surgery | | | | No |
| 9 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | | | No |
| 10 | 2086S0129X | Surgery | Vascular Surgery | | | No |
| 11 | 208800000X | Urology | | | | No |
| 12 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 140000285 | CALIFORNIA | Yes |
