Perounsack X Moon, DO Valid NPI

Individual provider · Internal Medicine Physician · Norfolk, VA

NPI

1043770241

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

0102207120 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2019-03-22

Last updated

2024-08-28