| NPI | 1356399323 |
|---|---|
| Other Name | JAY T MOORE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2004005496) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2004005496) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-10-14 |