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 | 207L00000X | Anesthesiology | | | | No |
| 2 | 207N00000X | Dermatology | | | | No |
| 3 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 4 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 5 | 207T00000X | Neurological Surgery | | | | No |
| 6 | 207VF0040X | Obstetrics & Gynecology | Urogynecology and Reconstructive Pelvic Surgery | | | No |
| 7 | 207Y00000X | Otolaryngology | | | | No |
| 8 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | | | No |
| 9 | 2080P0207X | Pediatrics | Pediatric Hematology-Oncology | | | No |
| 10 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 11 | 2085R0001X | Radiology | Radiation Oncology | | | No |
| 12 | 208600000X | Surgery | | | | No |
| 13 | 2086X0206X | Surgery | Surgical Oncology | | | No |
| 14 | 208800000X | Urology | | | | No |
| 15 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | Yes |