| NPI | 1467630806 |
|---|---|
| Other Name | ERIC JACKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A115195) |
| Additional Taxonomies | 208VP0000X (Licence: CA A115195) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CA A115195) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2023-12-06 |