Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | EL6796 | CA |
NPI | 1073018891 |
---|---|
Provider Name | Dr. Louis D Gilles |
First Address | Encinitas, CA 92024-5123 |
Second Address | Encinitas, CA 92024-5123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2018 |
Last Update Date | 26/03/2018 |