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 |