| NPI | 1972928703 |
|---|---|
| Other Name | JOCK MOORE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02487) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: NC 2018-02487) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2019-11-29 |