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 | 2085R0204X | Radiology | Vascular & Interventional Radiology | MD12768 | RHODE ISLAND | No |
| 2 | 2085B0100X | Radiology | Body Imaging | MD12768 | RHODE ISLAND | No |
| 3 | 2085D0003X | Radiology | Diagnostic Neuroimaging | MD12768 | RHODE ISLAND | No |
| 4 | 2085U0001X | Radiology | Diagnostic Ultrasound | MD12768 | RHODE ISLAND | No |
| 5 | 2085N0700X | Radiology | Neuroradiology | MD12768 | RHODE ISLAND | No |
| 6 | 2085N0904X | Radiology | Nuclear Radiology | MD12768 | RHODE ISLAND | No |
| 7 | 2085P0229X | Radiology | Pediatric Radiology | MD12768 | RHODE ISLAND | No |
| 8 | 2085R0001X | Radiology | Radiation Oncology | MD12768 | RHODE ISLAND | No |
| 9 | 2085R0205X | Radiology | Radiological Physics | MD12768 | RHODE ISLAND | No |
| 10 | 2085R0203X | Radiology | Therapeutic Radiology | MD12768 | RHODE ISLAND | No |
| 11 | 207U00000X | Nuclear Medicine | | MD12768 | RHODE ISLAND | No |
| 12 | 2085R0202X | Radiology | Diagnostic Radiology | MD12768 | RHODE ISLAND | Yes |