| NPI | 1699091587 |
|---|---|
| Former Name | FOUAD GEORGES KAADO MOAWAD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101253628) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT197164) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2020-10-08 |