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 | 207U00000X | Nuclear Medicine | | ME30625 | FLORIDA | No |
| 2 | 207U00000X | Nuclear Medicine | | 9935 | NORTH DAKOTA | No |
| 3 | 207U00000X | Nuclear Medicine | | MD00042982 | WASHINGTON | No |
| 4 | 2085U0001X | Radiology | Diagnostic Ultrasound | ME30625 | FLORIDA | No |
| 5 | 2085N0904X | Radiology | Nuclear Radiology | MD00042982 | WASHINGTON | No |
| 6 | 2085N0904X | Radiology | Nuclear Radiology | ME30625 | FLORIDA | No |
| 7 | 2085N0904X | Radiology | Nuclear Radiology | 9935 | NORTH DAKOTA | No |
| 8 | 2085R0202X | Radiology | Diagnostic Radiology | MD00042982 | WASHINGTON | No |
| 9 | 2085R0202X | Radiology | Diagnostic Radiology | ME30625 | FLORIDA | No |
| 10 | 2085R0202X | Radiology | Diagnostic Radiology | 9935 | NORTH DAKOTA | No |
| 11 | 2085U0001X | Radiology | Diagnostic Ultrasound | 9935 | NORTH DAKOTA | No |
| 12 | 2085U0001X | Radiology | Diagnostic Ultrasound | MD00042982 | WASHINGTON | Yes |
