| NPI | 1447132816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELE PULOKA Authorized Official 775-784-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-09-17 |