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 | 207Q00000X | Family Medicine | | | | No |
| 2 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 5101011367 | MICHIGAN | Yes |
| 3 | 207RM1200X | Internal Medicine | Magnetic Resonance Imaging (MRI) | | | No |
| 4 | 207U00000X | Nuclear Medicine | | | | No |
| 5 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | | | No |
| 6 | 207UN0902X | Nuclear Medicine | Nuclear Imaging & Therapy | | | No |
| 7 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 8 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 9 | 2085B0100X | Radiology | Body Imaging | | | No |
| 10 | 2085N0904X | Radiology | Nuclear Radiology | | | No |
| 11 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 12 | 2085R0204X | Radiology | Vascular & Interventional Radiology | | | No |
| 13 | 2085U0001X | Radiology | Diagnostic Ultrasound | | | No |
| 14 | 208D00000X | General Practice | | | | No |
