| NPI | 1467534396 |
|---|---|
| Professional Name | THOMAS U. MOODY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY OO9271) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 001884) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |