Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 01067966A | IN |
NPI | 1013117621 |
---|---|
Provider Name | Dr. Matthew Christopher Gilbert |
First Address | Evansville, IN 47733-3407 |
Second Address | Evansville, IN 47710-1674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2007 |
Last Update Date | 18/09/2012 |