| NPI | 1114443082 |
|---|---|
| Former Name | SEYED ALI AGHA MOSALLAIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: MD D0094814) |
| Additional Taxonomies | 2085N0700X (Licence: PA MT220985) |
| 2085N0904X (Licence: DC MD210012033) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2023-07-13 |