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NPI Profile for PEDIATRIC PULMONARY CRITICAL CARE PC in FORT WAYNE, IN.
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Pulmonology |
2080P0214X | 37 | Physician/Pediatric Medicine | |
Pediatric Critical Care Medicine |
2080P0203X | 37 | Physician/Pediatric Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1225169196 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/09/2007 | |
| Last updated | 03/06/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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PEDIATRIC PULMONARY & CRITICAL CARE, PC