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 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 2 | 2086S0102X | Surgery | Surgical Critical Care | | | No |
| 3 | 2086X0206X | Surgery | Surgical Oncology | | | No |
| 4 | 207RN0300X | Internal Medicine | Nephrology | | | No |
| 5 | 207RR0500X | Internal Medicine | Rheumatology | | | No |
| 6 | 207RX0202X | Internal Medicine | Medical Oncology | | | No |
| 7 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 8 | 208VP0000X | Pain Medicine | Pain Medicine | | | Yes |