Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | C1-0013325 | DE |
N | 207QA0401X | Family Doctor - Addiction Medicine | MD035160E | PA |
NPI | 1750348421 |
---|---|
Provider Name | Dr. Christian L Gilbert |
First Address | Wilmington, DE 19805-5220 |
Second Address | Wilmington, DE 19805-5220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 11/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E65845 | (02) |