Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G060619 | CA |
NPI | 1083690440 |
---|---|
Provider Name | William M Gilbert |
First Address | Sacramento, CA 95819 |
Second Address | Sacramento, CA 95819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 03/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G606190 | (05) | CA |
C46704 | (02) |