| NPI | 1245371897 |
|---|---|
| Other Name | ALFONSO JOHN MOONEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 21688) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 21688) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |