| NPI | 1114924966 |
|---|---|
| Other Name | JIM WILLIAM NICHOL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A101845) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CO 40830) |
| 207Q00000X Family Medicine (Licence: HI 13474) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-02-12 |