Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A86941 | CA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | D88462 | MD |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD039970 | DC |
NPI | 1841225133 |
---|---|
Provider Name | Dr. Daniel David Gruber |
First Address | Washington, DC 20016-2633 |
Second Address | Bethesda, MD 20889-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 06/10/2020 |