| NPI | 1487144457 |
|---|---|
| Professional Name | AHMAD MOGHADDAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 14727A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: WY TL7240) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-08-30 |