NPI | 1578839932 |
---|---|
Former Name | JOSEPH MATTHEW MOORE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60489932) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60489932) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60489932) | |
Enumeration Date | 2012-03-29 |
Last Update Date | 2022-07-03 |