Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | R75425 | AZ |
NPI | 1467816603 |
---|---|
Provider Name | Ali Mohammed Asseri |
First Address | Tucson, AZ 85741-2160 |
Second Address | Tucson, AZ 85724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 13/04/2016 |