Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A90202 | CA |
NPI | 1033297536 |
---|---|
Provider Name | David D. Gilbert |
First Address | Walnut Creek, CA 94598-3068 |
Second Address | Walnut Creek, CA 94598-3068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A902020 | (05) | CA |