Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 01057582A | IN |
Y | 207RP1001X | Pulmonary Disease | 11937 | NH |
NPI | 1023039534 |
---|---|
Provider Name | Dr. Wei Shen |
First Address | Loma Linda, CA 92357-1000 |
Second Address | Tucson, AZ 85723-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 30/12/2015 |