| NPI | 1235132978 |
|---|---|
| Other Name | MICHAEL ROY MOORE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WA MD61324152) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CO 33095) |
| 225400000X Rehabilitation Practitioner (Licence: CA G85748) | |
| Enumeration Date | 2005-05-25 |
| Last Update Date | 2023-10-25 |