| NPI | 1902006695 |
|---|---|
| Other Name | MARK JASON PETERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A104059) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA A104059) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-07-21 |