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 | 207R00000X | Internal Medicine | | 2004-01574 | NORTH CAROLINA | No |
| 2 | 207U00000X | Nuclear Medicine | | 2004-01574 | NORTH CAROLINA | No |
| 3 | 207U00000X | Nuclear Medicine | | MD034633 | DISTRICT OF COLUMBIA | No |
| 4 | 207U00000X | Nuclear Medicine | | MD462336 | PENNSYLVANIA | No |
| 5 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | 2004-01574 | NORTH CAROLINA | No |
| 6 | 207UN0902X | Nuclear Medicine | Nuclear Imaging & Therapy | 2004-01574 | NORTH CAROLINA | No |
| 7 | 207UN0903X | Nuclear Medicine | In Vivo & In Vitro Nuclear Medicine | 2004-01574 | NORTH CAROLINA | No |
| 8 | 207UN0903X | Nuclear Medicine | In Vivo & In Vitro Nuclear Medicine | 35.140940 | OHIO | No |
| 9 | 2085R0202X | Radiology | Diagnostic Radiology | 35.140940 | OHIO | No |
| 10 | 207U00000X | Nuclear Medicine | | 35.140940 | OHIO | Yes |