| NPI | 1972553238 |
|---|---|
| Other Name | MICHEAL MASH MOON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0013C) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 609) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-01-10 |