Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 006452 | AZ |
N | 208800000X | Urologist | 036.144100 | IL |
Y | 208800000X | Urologist | 20A15720 | CA |
N | 208800000X | Urologist | 34010887 | OH |
NPI | 1053632091 |
---|---|
Provider Name | Daniel R Gilbert |
First Address | Napa, CA 94558-2904 |
Second Address | Napa, CA 94558-2904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 02/11/2021 |