Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 04-41615 | KS |
NPI | 1003204629 |
---|---|
Provider Name | Moh'd Al-Halawani |
First Address | Hutchinson, KS 67502-9907 |
Second Address | Hutchinson, KS 67502-9907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2015 |
Last Update Date | 26/11/2019 |