Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 35837 | CO |
N | 207RC0200X | Critical Care Medicine | 64346 | WI |
N | 207RP1001X | Pulmonary Disease | 35837 | CO |
Y | 207RP1001X | Pulmonary Disease | 64346 | WI |
NPI | 1053345124 |
---|---|
Provider Name | Ali Imran Musani |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 06/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01358373 | (05) | CO |
G43443 | (02) | CO |