NPI | 1790195261 |
---|---|
Other Name | SHAHRIAR MOSSADED |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 74500) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY P92721) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2024-07-23 |