Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | N6627 | TX |
NPI | 1144547423 |
---|---|
Provider Name | Joseph Rosen |
First Address | Houston, TX 77007-4432 |
Second Address | Houston, TX 77054-1920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2010 |
Last Update Date | 28/01/2022 |